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Aid-a-Cancer-Patient Form

Yes, I want to make a donation towards medical aid for a patient.

I understand donations made to CPAA are exempt from Income Tax under Section 80-G of the Income Tax Act (50% tax exemption).

Please have a representative contact me.

 

Name:
Title (if any):
Organisation (if any):
Address:
City:
Pincode:
Tel No.:
Fax No.:
E-mail


PAYMENT METHOD

Check the method of payment that you are using

Demand Draft (DD)
Cheque
DD / Cheque Number:
Date:
Issuing Bank:

Please send Stamped receipt and Quarterly Progress Reports to
Address:
Any Other Comments: