C.M.D.A. Kenya

Each of you should look not only for your own interests, but also to the interests of others. Phil. 2:4

Personal Details

Full Name:*
Profession:*
Work Station (Main):*
Work Station (Other):
Phone Number (Mobile):*
Phone Number (Office):
E-mail Address:*

Physical Address:

Work Station Town:*
Residential Town:*

I hereby commit to support CMDA-Kenya as follows:-

Amount Pledged:*
Amount:
Frequency:*
Other (Frequency):
Reminder:

Account Details

For cheques and cash deposits;

Acc. Name: CHRISTIAN MEDICAL AND DENTAL ASSOCIATION OF KENYA


ACCOUNT NO: 0100000200098

CFC-STANBIC BANK, UPPER HILL MEDICAL CENTRE BRANCH


OR MPESA

0722-264889

(Please notify the office after any deposits on 0722-264-889)


Enter the code displayed: