Receipt Book Number
Format: 5 digits e.g. 00000
Participant's First Name
Participant's Last Name
Your parent or guardian will need to fill in their details on the next page.
Participant's School
Would you like a 'Thank You' Certificate?
You’re a real inspiration and you’re making real change.
Thanks for living simply and helping us end poverty through education and community development. Remember to thank those who donated towards your efforts in the Just One Day challenge.

Receipt book numbers can be found on the top right corner of each page. Providing a receipt book number will enable us to generate a total tally for individuals and groups.