Contribution Form
Please Note: Once you submit this form you will have to print the resultant page and mail it along with the cheque/draft.
Mailing Address : ROTARY CLUB OF BOMBAY WEST Rotary Service Centre, Rotary Chowk, Juhu Tara Road, Santacruz (West), Mumbai - 400 049
Dear Sir, I wish to contribute for -- Select -- annual training for hearing handicapped student total education of a hearing handicapped student treatment of T.B affected patients detection and counseling of AIDS affected patients Scholarship for a student
(Number ). I am enclosing Cheque/ Draft No. dated for total $ in the favour of ROTARY SERVICE PUBLIC CHARITABLE TRUST. Yours Faithfully,