Donation Form: SSROH


Yes ! I am a supporter of SSROH.

Please find enclosed my cheque in favour of ‘SSROH’.

[Demand Draft should be payable at New Delhi]


Cheque/DD No. ............................................... Amount:..................................................................

Bank Name: ....................................................................... Branch:...................................

Signature:...................................................................................


My Personal Details:
(for receiving a formal donation receipt)

Name: Dr/Mr/Mrs/Ms................................................................................................................................

Address: ......................................................................................................................................................

State: ................................................................................

Country: .................................

Postal Code :..........................................................................

Phone: ...................................................................................

E-Mail ID: ...................................................................................................................................

[Kindly provide your e-mail ID for convenience in sending reports and receipt]


Kindly post or email this form to SSROH at:

Sun Shine – A Ray of Hope (SSROH)
106-D
Patliputra Colony
Patna – 800013.
ssroh.india@yahoo.com

© Sunshine A Ray of Hope