DIYA FOUNDATION -we care
Support a Child

You can help these children get their basic education by making a donation. All donations, regardless of amount, are appreciated and put to good use.

Kindly fill in the following form and send it to us :

I’d like to support for education and healthcare of :
I’d like to support for education, healthcare & clothing of :
I’d like to donate to “Diya Foundation” by Cheque / DD No.
for Rs.
(Payable to “Diya Foundation”)
   
I’d like to donate to Diya Foundation by my Credit Card

Issuing Bank Name :
Card Type :
Card Number :
Date of Birth : (Card Holder's Date of birth)
Card Expiry date : MM     YY
Name Mr. / Ms :
Residential Address :
   
Pin Code :
Occupation :
Office Address :
   
Telephone ( R ) :
Telephone ( O ) :
Mobile No. :
Email Address :

I authorize  deduction of Rs Through my Credit Card
beginning from      until    further Notice from me.

 
Just write to :

Diya Foundation
F.F. 2 & 3, 170 - 171, Prajapat Nagar
Gulmohar Park Road, New Delhi - 110 049. India



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