DONOR MEMBERS COMMITMENT FORM

Yes, I/We wish to be a MDD team partner is selfless service of God by donating:

     1 Rs.1000/- per month                                     8 Rs.12000/- per year.
     2 Rs.500/- per month.                                      9 Rs.6000/- per month.
     3 Rs.400/- per month.                                      10 Rs.4800/- per month.
     4 Rs.300/- per month.                                      11 Rs.3600/- per month.
     2 Rs.200/- per month.                                      12 Rs.2400/- per month. 
     6 Rs.100/- per month.                                      13 Rs.1200/- per month.
     7 Rs._____per month.                                     14 Rs._____ per month.

As my contribution towards a portion of the monthly expenses of an orphan from
___________________________to__________________________________

As foster parent, I will adopt one orphan, by donating Rs.2000/- per month/Rs.24000/- per
    year for his/her monthly expenses from__________________________________________
    to_____________________________

 Where most needed, by faith, I/We intend to contribute one time gift of Rs.______________

 I/We intend to contribute one time gift of Rs.___________ for land and building fund of
    orphanage.

 I/We would like to join as life member of M.D.D.Bal Bhawan by contributing  
   Rs.11,000(One Time)
 

Name______________________________________ Date of birth______________________

Occupation__________________________ Designation______________________________

Address ___________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Phone No(O)___________________(Resi)____________________ Mobile_______________

I am sending here with cash/cheque/draft No.____________________ date_______________

for Rs._____________ Bank____________________________________________________

Please give your remarks/suggestions/option if any__________________________________  

__________________________________________________________________________


Date ________________                                                   Signature ___________________

Note:
1. Please tick the appropriate boxes, fill in the blanks and send to us with M.O/Cheque/
    Demand Draft in favour of "Mission to the Desperate & Destitute of India" .
2. All donation are exempted U/S 80-G(5) of I.T.Act,1961.