Mathiwos Wondu Foundation Membership Form Mathiwos Wondu Foundation (MWF) is a local non-profit organization established by Mr. Wondu and 15 founding members in memory of Mathiwos, who passed away from leukemia at the age of 4. For over 21 years, MWF has worked to advance cancer and non-communicable disease (NCD) prevention, screening, early diagnosis, treatment, and psychosocial support, reaching more than 5,000 individuals and families through its initiatives. This membership form enables individuals and organizations to formally join the MWF membership network and contribute to our mission. Membership Categories Regular Membership Tier I – 1,000 ETB / year Tier II – 3,000 ETB / year Tier III – 5,000 ETB / year Life Membership: 20,000 – 30,000 ETB Honorable Membership: ≥ 30,000 ETB Registration Process Fill out your basic information. Pay your chosen contribution via CBE Account: 1000007229686 (Mathiwos Wondu – YeEthiopia Cancer Society). Attach the payment receipt and upload a passport-sized photo using this form. Upon completion, you will receive an electronic membership certificate via email or Telegram shortly. Thank you for being a part of our cause. We won’t give up until we beat cancer and NCDs together! For more information, please contact us at 0936 821 229 / 0975 414 243 or email contact@mathiwos.org. Full NameAgeSexMaleFemaleNationalityCountry of birthPresent Address: CountryCityKebeleHouse NumberMobile NumberEmail AddressOccupation: Name of OrganizationTitleType of MembershipCancer patient with no income (No fee)Regular Membership Tier I (1000 ETB/year)Regular Membership Tier II (3000 ETB/year)Regular Membership Tier III (5000 ETB/year)Life-long Membership (20,000-30,000 ETB)Honorable Membership (≥ 30,000 ETB)Please describe shortly why you want to be a member of MWF?How did you hear about our membership program?Please upload your payment receipt below.Choose FileNo file chosenDelete uploaded filePlease upload a passport sized photo.Choose FileNo file chosenDelete uploaded fileIf you are a cancer patient, kindly upload official proof of diagnosis.Choose FileNo file chosenDelete uploaded fileSubmit