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To: Date:
Karmayog Tel:
91 - 22 - 2200 0478
Shri R.O. Somani Charitable Trust Fax:
91 - 22 - 2203 5410
Shreeniwas House, 2nd floor, e-mail:
info@karmayog.org
H. Somani Marg, Fort,
Mumbai 400 001,India.
a) I am making a donation of Amount: Rs……………..
By electronic Bank Transfer
To Your Bank
CITIBANK
CitiBank
NA, Fort Branch, Mumbai 400001
Citibank SWIFT CITIINBX
Account No. 0080284004
Shri R. O. Somani Charitable Trust
From My Bank
City
Remittance Code
Dated
b) I am donating towards (Please select one)
.
a specific cause, namely ……………..…………….. (please state. e.g. cancer)
.
any cause selected by Karmayog
.
Karmayog's own activities (corpus)
c) Our details are
. My
Name :
. Organisation
:
. Address
:
. City
/ Town :
. Country
: India
. Phone
:
. E-mail
:
. Website
:
d) Display
. My
Name O Yes O
No
. Organisation O
Yes O No
. Amount O
Yes O No
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