Cheque / DD
Please make a Cheque/DD in favour of "Environmental Society"
and send to us with your complete address and PAN.
Donation Form:
Environmental Society
Yes ! I am a supporter of Environmental Society Please find enclosed my cheque in favour of 'Smile Foundation'.
[Demand Draft should be payable at Varanasi]
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 this form to Environmental Society at:
Environmental Society
(Eco-Friendly Group)
A-19/24, Chauhata Lal Khan, Kashi
Varanasi- 221001 ( U. P.), India
Email : [email protected]
Please make a Cheque/DD in favour of "Environmental Society"
and send to us with your complete address and PAN.
Donation Form:
Environmental Society
Yes ! I am a supporter of Environmental Society Please find enclosed my cheque in favour of 'Smile Foundation'.
[Demand Draft should be payable at Varanasi]
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 this form to Environmental Society at:
Environmental Society
(Eco-Friendly Group)
A-19/24, Chauhata Lal Khan, Kashi
Varanasi- 221001 ( U. P.), India
Email : [email protected]