Donation Pledge Form

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Please visit http://www.ihf-usa.org/newtemple for details

Donor Name *

Address *

Phone *

Email *

Donation Scheme *

Number of payments *

You can select an appropriate option to opt to pay once or in 2 years or in 1 year. Refer to the details below to see the payment amounts based on your selection.

Bank Account Holder Name *

Bank Account Number *

Refer to sample image of check below to identify your Bank Account number.

Bank Routing Number *

Refer to sample image of check below to identify your Bank Routing Number.

Start Date *

The date to start ACH debit

YYYY

Donor Signature. I hereby authorize India Heritage Foundation to ACH debit my donation pledge amount in installments from my bank account as per my selection above. *

Please enter your full legal name. The entry below will act as your Digital Signature.

Submit

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This form was created inside of India Heritage Foundation.