Request Funds Withdrawal Request Form Username: Account total: Service charge (10%): Available Balance: Reference: Campaign Name Email address Phone Number ***Please fill in the official bank details of your accredited organization below. Do not provide personal account details. Payment Method Cheque EFT (Electronic Funds Transfer) Organization Name Account Holder (Organization Name) Bank Name Account Number SWIFT Number Amount I agree to the Terms and Conditions The requested amount has to be less than the available balance. The requested amount has to be more than Ksh. 5,000. Success, Your withdrawal request is being evaluated. Δ