ACT | Donate Regularly via Bank Transfer

Thank you for becoming a monthly donor to ACT for Animals, the Taiwan association of Animal Care Trust.
Please complete the simple form below so that we can set you up as a new member of the ACT Monthly Donor Club.
We will email you the simple instructions on how to set up a recurring donation.
You will also find them on the following page after you submit this quick form.

* YOUR BASIC INFO
Given Name(s):	*
Family Name:	*
* CONTACT INFO
Email	*
Do you agree to receive emails from ACT concerning your recurring donation?	*
* YOUR DONATION INFO
How much will your recurring donation be (NT$)?	*
How often would you like to make your gift to ACT?	*
If 'Other', please explain:	*
What date can we expect to receive your first donation?	*
Your account's last five digits:	*
* DEDICATION
Are you donating in the name of one of our rescued animals? If so, please choose their name from the dropdown list.	*