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I/we hereby authorize you to debit my/our account with the above mentioned banking details (or any other bank or branch that I/we may change to) the sum as stated above, on the working day of each month as specified in this form. This sum being the amount for settlement of the monthly due by you in respect of the above purchases/contract/agreement dates.

I/we hereby authorize your agent MyGate Communications (Pty) Ltd to debit my/our account on your behalf. This debit order agreement may be cancelled by giving thirty days written notice in writing but I/we understand that any amounts withdrawn while this agreement was in force is owing. I/we hereby agree that the party hereby authorized to debit my bank account may not cede or assign any of its rights and that I/we may not cede any of our obligations in terms of this debit order instruction to any third party without prior written consent of the authorized party.

I hereby acknowledge that I have read the Debit order mandate and confirm that I have signed it electronically.

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Register as an Organ Donor

Our Sponsors
WHAT SHOULD I DO IN THE EVENT OF MY LOVED ONES DEATH?

Please contact the Organ Donor Foundation on:
0800 22 66 11 Toll Free line DURING OFFICE HOURS, or
082 318 4376 Emergency line AFTER HOURS.

An Organ Donor Foundation staff member will ask you to provide the following details:

  • Name of your loved one
  • Cause of death
  • Time of death
  • Age of your loved one
  • Is your loved one at a hospital or at a mortuary or undertaker?
  • The area where your loved one is situated
  • Your name, contact number and relation to the deceased

They will thereafter pass on the information provided to the nearest transplant centre or tissue bank.

IMPORTANT TO KNOW: SOLID ORGANS such as the heart, lungs, liver, kidneys and pancreas can only be donated if your loved one has been diagnosed with brain death and is on a ventilator in a hospital. In this case, upon receiving your call, the Organ Donor Foundation will pass on the information to the nearest transplant centre and soon thereafter a transplant coordinator will contact you.

TISSUE such as bone, skin, corneas and heart valves may be used if your loved one is either on a ventilator or has already passed away and their body is at the mortuary or undertakers. In this case, a representative from the Tissue Banks or Eye Bank will be in touch with you.

THE ORGAN DONOR FOUNDATION IS NOT A MEDICAL ORGANISATION AND OFFERS THE ABOVE SERVICE TO ASSIST WITH ORGAN AND TISSUE REFERRALS ONLY. OUR STAFF MEMBERS ARE NOT TRAINED MEDICAL PROFESSIONALS.

Thank you for taking this step to ensure your loved ones wishes are honored during such a traumatic time.


NPO / PBO Numbers 003-458 NPO PBO: 18/11/13/4
All Rights Reserved - The Organ Donor Foundation of South Africa © 2018