Rajaswala Pride Kit Donation Form (AFPR)
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Email *
Name of the Donor *
Address *
City *
Contact Number *
Age *
Gender *
Profession *
Number of Kits Donated
Amount Donated (only in multiples of 50; minimum amount is Rs. 50) *
Would you be interested in donating again? *
Payment made through? *
Fundraiser's Name (Volunteer/Intern Name)
Reference *
Any message for the Donee?
A copy of your responses will be emailed to the address you provided.
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