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| Sadhana
Credit Card Payment Form |
| Credit
Card Payment Form for VISA ans MASTER card |
Please
fill in the form and print it before mailing to the given
address below |
| |
| Name |
|
| Address |
|
| |
|
| City |
|
| State |
|
| Zip/Pin
Code |
|
| Phone |
|
| E
mail |
|
| |
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| Yes!
I would like to donate towards Sadhana Fund an amount of |
| Rs
|
|
| Credit
Card Type |
|
| Date
of Expiry |
DD
M
Y
|
| Credit
Card No |
Date of birth DD
M
Y
|
| Place
|
Date DD
M
Y
|
| |
|
| Please
credit the said amount to Sadhana's SBI
Bank A/c No:
10018142806 |
| |
|
| Signature:
_____________________________ |
|
| |
|
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|
| Please
mail the form to the address below: |
| ……………cut here to use below
text as address label…………… |
| |
| SadhanaInstitute
for the mentally challenged
Head Office 1-4-63/7, Sneha Nagar Colony,
Street No.8, Habsiguda, Hyderabad - 500 007
ANDHRA PRADESH INDIA.
Phone
: +91-40-27152366,
27157206
Email : sadhanamadhu@yahoo.co.in
- msreddyp@gmail.com
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