Sporsho NGO Visit X4 - 2nd Apr, 2016
Please complete the form with correct information and read the instructions carefully.

Let us come and join hands to make a difference in someone's life.

We are visiting: to be decided

Bank Details for payment: http://goo.gl/dBZTf

Event Coordinators : Debojyoti Mahapatra (8121933674)

For more information please contact - Gourab [8885517905]
For payment related queries contact - Mithun [9700046888]

Any other general query regarding Sporsho please email us at sporsho.ngo@bengalisinhyderabad.com

Name *
Please enter your full name
Your answer
Email Address *
Please enter your email address for communication
Your answer
Mobile Number *
Please enter your 10 digit mobile number only.
Your answer
Mode of Transport *
Please mention how would you like to travel to the location (Charges on actual for carpool). Choose 'Not Applicable' if you are just contributing. Carpool will be arranged by the organisers but payment need to be made on actual while travelling on sharing basis.
Your location *
Please enter your location in Hyderabad. (Mandatory, if you need carpool).
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I agree to contribute the below amount per head as a contribution towards children's fund for the visit. *
You can contribute anything in the multiples of 100 (e.g. 500, 1000, 2000, 5000).
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Mode of Payment *
Please enter the mode on payment for your contribution. For card payment, please visit here: http://goo.gl/8D8MTh
Additional Comments
Please mention the name of the organizer, if you are making cash payment. If you have your own vehicle, please mention if you would be willing for carpool. If you like to donate clothes, books, food, etc. please mention below.
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