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
Yes! I would like to donate towards Shekinah 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 Shanthiniketan's SBH Bank A/c No: 52098628898
Signature: _____________________________
Please mail the form to the address below:
……………cut here to use below text as address label……………
Shanthiniketan,
Residential Institution for the
Mentally Handicapped children
(Regd. by the Govt. of Andhra Pradesh)
Plot No. 10, Gouthami Nagar, Vanasthalipuram,
Ranga Reddy District, A.P 500 070
India. PHONE : +91-40-24021975 Email :info@shanthiniketan.org.in.
