Donation Form

Muskan

	MUSKAN
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To make a donation to Muskan, just fill the following form. Take the print of filled form and send alongwith your Cheque/DD/MO to Muskan at the following address: MUSKAN A-146, 1st Floor, Chaudhary Chamber Vikas Marg, Shakarpur, Delhi-110092 (India)

(field marked with * are mendetory)

Name*

Address*

City*

Distt.

State

Pin Code*

Country*

Phone No.

Mobile No.

E-mail

5.	Donation Options :

I want to Sponsor a child by contributing :

Rs. 500/- per month.

Rs. 6000/- per year.

I want to Educate a child by contributing :

Rs. 250/- per month.

Rs. 3000/- per year.

I want to become a Muskan volunteer by contributing :

Rs. 100/- per month.

Rs. 1200/- per year.

I want to make a donation of Rs.

6.	Enclosed a Cheque / Demand Draft / Money Order of Rs.*

vide Cheque/DD/MO no. dated (dd/mm/yyyy)
payable at New Delhi.

7.	You may also send a similar appeal to my relatives/friends whose particulars are given below :

Name

Address

City

Pin Code

Phone No.

Name

Address

City

Pin Code

Phone No.

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