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YOUR DONATION COULD HELP OUR CHILDREN ENVISION A BRIGHTER FUTURE
Thank you for your interest in donating for CHILLA’s children! We are happy and moved by the response. Thank you for your enthusiasm and generosity.
YES, I would like to donate the following amount to CHILLA.
Amount in Rs.
Amount in foreign currency
Please make crossed Cheque/DD in favour of CHILLA
Cheque No. / Draft No.
Date (dd/mm/yyyy):
Bank Branch:
CONTACT DETAILS:
Name: Mr. /Ms.
Address:
Pin:
Telephone:
Mobile:
E mail:
Date of Birth (Optional):
Qualification (Optional):
Occupation (Optional):
Interests/Hobbies (Optional):
Comments:
Please complete the form and send Cheque/D.D/M.O. to:
Chilla, House No.A-37, Vidhyadhi Raja Nagar,
Poojappura P.O Thiruvananthapuram, PIN 695012.
THANK YOU FOR YOUR INTEREST IN HELPING CHILLA!
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