Cheque/Cash Pick-Up Request
This facility is only available for residents of India and minimum amount should be more than Rs. 200
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Name *
Address *
City Name *
Pincode/Zipcode *
6-digit Pincode ( e.g., 110070)
District, State *
e.g., Gurgaon, Haryana
Mobile number *
10 digit number (e.g., 9810098100)
Alternate Contact No
If landline please put the STD code ( e.g., 011-46010000)
Email ID
please put a valid email id
Pickup date *
please put the pickup date ( 01/01/2017)
MM
/
DD
/
YYYY
Donation type *
Cash Donation of more than Rs. 20,000 requires PAN no. or ID proof.
Amount *
Insert the amount you want to donate ( should be greater than Rs. 200)
Any other comment
Submit
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