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Contact Us

Email: msnamibia@msnamibia.com

Do you want to make a donation to MS Namibia?

Account Name: Trust Suspense Account
Branch Name: First National Bank, Commercial Suite
Account Nr: 555 7222 3200
Branch Number: 281 972
Reference: MS Charitable Trust

Please complete the following form:

Name & Surname

Telephone
E-mail
Age
Gender
Address
MS patient?
When have you being diagnosed
Using any medication?
Type of medication
Do you have medical aid assistance
Occupation

Interests/Hobbies

Are you interested in a support group?
How do you experience MS?
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