Fortify Health: Donation receipt request form
For donors who would like to receive a donation receipt and updates about the project, please fill out this form.
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Email *
Name *
First and last names
Address
Mobile number *
PAN
Date of payment *
MM
/
DD
/
YYYY
Time of payment *
Time
:
Mode of payment *
Name of bank (that the donation was made from) *
Please share any feedback you have for us about the project
Would you like to receive project updates and occasional newsletters from us? *
We can add you to our updates and newsletter subscription list, and you can message hello@fortifyhealth if you would like to opt out at any point
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