Donor Form

THEN INDIA SANMARGA IKYA SANGAM - LAUTOKA BRANCH
P O Box 144, Lautoka, Fiji Islands .  Phone: +679 666 0199 . Fax: +679 666 0761
Lautoka Branch
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LAUTOKA SANGAM VILLAGE a Millennium Project

“ BRINGING TOGETHER SANGAM MEMBERS & THEIR FAMILIES AND FRIENDS TO INTERACT IN HARMONY”

DONOR CONTRIBUTION FORM

FAMILY OF  

Mr. & Mrs______________________________________________along

With______________________________________________________

of ____________________________________ Phone:______________

Address _________________________________________________________

Fax:_______________eMail:__________________________________________

_____________________________________________  are pleased to participate

As Donors in the Lautoka Sangam Village Project with donation of sum of

$ ___________________   [________________________________________]

To be paid in full / installments of initial sum of $________ to be followed by sum

of $_______________ at intervals of _____________month or otherwise as follows

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_____________________________________ ____________________________
Signature of Principal members of the family Name


Dated ______________________________

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