Appreciate Uganda’s Resident Visitors

Name of foreign resident to appreciate:*

Email of foreign resident to appreciate:*

Tel. No. of foreign resident (optional):

Country of foreign resident

Name of person or organization nominating foreign resident:*

Tel. No. of the nominator:*

Email of the nominator:*

Website of the nominator (optional):

Amount Contributed (UGX):*

Name of the Champion:*

Tel. No. of the Champion:*