Donation Form
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Drops of water make up the ocean, so do the smallest of your contributions make the life of a child.
DONATION FORM
Personal Information:
Title *
Mr.
Mrs.
Ms.
Dr.
Prof.
First Name *
Last Name *
Address1 *
Address2 *
City *
State *
Country
Pincode
Phone *
E-Mail*
Occupation
Date of Birth
(DD/MM/YY)
DONATION FORM
YES, I would like to contribute towards:
(Check the relevant check box to enter the amount.)
General Donation
A class room
Salary for an Educator
Educate
1
2
3
4
5
child
Total (Rs.)
I would like to be a
KARUNAII TRUST
volunteer.
I would like to volunteer:
My Time
My Skills
Others (please specify)
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