Jangsa Membership Contribution Form
Please provide your details below to become a contributing member to Jangsa Animal Saving Trust at BoB account number 100926232.
Sign in to Google to save your progress. Learn more
Account Holder Name
*
CID Number
BoB Account Number
*
Amount
*
Basis  (Monthly or Yearly)
*
Number of years you wish to contribute
*
Contribution effective from (Date/Month/Year)
*
Phone Number
Email (For regular updates)
Current Address
Member's Benefits
1) Tax exemption on  PIT/BIT.
2) Regular updates on our activities.
3) Active access to our programs and activities.
Confidentiality
All the information your provide will be accessible by the Jangsa officials only. If you have any concerns with the security of your information, please email us at jangsamember@gmail.com or call 17643532.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report