National Non-Governmental Organization

                                                  Support A Cause


Donation Form: ROOTS                                                                                                      Print This Page


Yes ! I am a supporter of Roots.
Please find enclosed my cheque in favour of 'Roots'.

[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 this form to Roots at :
Roots National NGO
A1/206, Gali No.- 8,
Amrit Vihar, Delhi-110084
Phone: 011-27307101
             09958832622


                                                                                               
Print This Page



[For any query related to donation, please write to us at Email: info@rootsindia.org
Note.1 : ROOTS does not ask for or accept cash donations.
Note.2 : ROOTS keeps the personal details of its donors strictly confidential.
Roots is able to accept donations in Indian Rupees (INR)
Kindly click here for the Currency Converter to find out the exchange rate for your local currency.
For sponsoring a project on any other heads/ casue kindly write to us at
info@rootsindia.org


                                                Any Query :-















Name
E-mail
Comment