Regular monthly donation program

A donation scheme based on the principle of ensuring the receipt of an on-going monthly donation amount on a regular habitual manner to secure a constant source of income; thus contributing to the costs of treatment and operations at the hospital. This scheme will be structured so as to facilitate for the donor for the actual process of donating the money through devising a reminder system and an easy suitable channel for the donor either through making a bank transfer to a 57357 account or through the internet or  by sending a foundation employee to collect the money.

If you wish to participate in this program please fill in this application form:

Name:                                     

Occupation:                            

Monthly donation amount:    

Land line phone:                    

Mobile:                                  

Address:                                

Email Address:                     

Country of residence:           

1- Preferred channel of donation:

 Bank transfer
Through the internet
Foundation employee to collect the money

2- How were you informed about hospital 57357?

Our ads
T.V
Radio
Press
Our website
Through friends
Other sources

3- If it was through different ads, which ad in your opinion, featuring different segments of society, impacted you the most:

Religious Leaders
Writers & authors & Editors in chief
Renowned personalities in the medical field
Community groups (Police & Army)
Patient's families
Patients
Artists
Sports Players

4- What is your reaction when you come across negative publicity about the hospital?

Stop paying
Inquire more about the issue
Sending us your concerns
Ignore it

5- How would you best describe Hospital 57357?

Free of charge treatment
Stats of the Art Hospital
Latest equipment and diagnosis tools
Increasing survival rates of children with cancer
Comprehensive healthcare institution
New healthcare era in Egypt
All of the above
None of the above

6- How could you be advocate of our monthly donation program in your community?

From friends of 57357 groups in your community
Spread word of mouth about the project and ways to donate money
Others

7- How do you wish to follow up our news?

Through our website
Through our E-Newsletter
Through small mail shots and news updates
Through public media
Others

8- Do you have any questions or suggestions comments about our Hospital?

We welcome you

as a new member of our monthly donation program