Commitment form

9 Potgieter Street , Brits, 0250 | Tel: 076 466 4897 | Email: admin@proudlymadibeng.co.za

Vision Statement
Our Vision is a safer, cleaner and functional Madibeng for our whole community and children in cooperation with local government.
Mission statement
To actively and sustainably contribute and offer support to the maintaining and upgrading of basic services, roads and as well as schools and improving general safety in the Madibeng community by assisting and cooperating with local government, the SAP, Community watch forums and local businesses.

Name & Surname *

Company name

Please know that we do need contributions to drive this initiative.
Banking details for a EFT or repeated scheduled payment:
Proudly Madibeng
FNB Kremetart 252545
Account: 63044189355
Ref: (Member Reference No)

I would like to contribute to the Proudly Madibeng fund:MonthlyQuarterlyAnnually

Amount

Nominated person

Phone

Email Address

Would you like to be informed of our progress? *YesNo

Please add my contact number to the Proudly Madibeng WhatsApp information group. (You may leave the group at any time)In future I would like to be add to a mailing list for the project progress info. Please WhatsApp or email our office for any suggestions or questions.

Signature *

Signed on : September 07, 2026