Afya Luggage for Life Capetown Application

To participate, complete the form below. We will ship you a box of supplies, a duffel bag to repack them into, and a customs clearance letter to use upon arrival.

Your Information

Visit Information

If duffel is shipped, shipping fee is additional (price varies by shipping location)

Trip Information

Shipping Information for Bag Delivery in US (if applicable)

Billing

Upon completion of this form, you will be redirected to the donation form.

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