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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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* Indicates required question
Name
*
Your answer
Address
*
Your answer
City Name
*
Your answer
Pincode/Zipcode
*
6-digit Pincode ( e.g., 110070)
Your answer
District, State
*
e.g., Gurgaon, Haryana
Your answer
Mobile number
*
10 digit number (e.g., 9810098100)
Your answer
Alternate Contact No
If landline please put the STD code ( e.g., 011-46010000)
Your answer
Email ID
please put a valid email id
Your answer
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.
Cheque
Cash
Amount
*
Insert the amount you want to donate ( should be greater than Rs. 200)
Your answer
Any other comment
Your answer
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