28 January 2009

GET INVOLVED

MAKE A DONATION OR VOLUNTEER!!!!
Please email or call us with the following information.
You can copy and print the following form to make a donation.
YOUR CONTRIBUTION WILL HELP OUR CHILDREN ENVISION A BRIGHTER FUTURE

DONATE
Amount in Rs. ___________________________________________________________

Amount in foreign currency _________________________________________________

Please make crossed Cheque/DD in favour of CHILLA

Cheque No. / Draft No__________________________ Date____________________

Bank/Branch: ____________________________________________________________

Our Bank- State Bank Of Travancore, Thirumala Branch, Kerala
A/C 67037783424


CONTACT DETAILS:

Name: Mr. /Ms.__________________________________________________________

Address: ________________________________________________________________

__________________________________________________________Pin___________

Telephone: ______________________________ Mobile: ________________________

E mail: _________________________________________________________________

Date of Birth: (optional) ___________________________________________________________

Qualification: (optional)___________________________________________________________

Occupation: (optional) _____________________________________________________________

Interests/Hobbies: (optional) ________________________________________________________

COMMENTS:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________


Please complete the form and send Cheque/D.D/M.O. to:
Chilla, House No.A-37, Vidhyadhi Raja Nagar, Poojappura P.O
Thiruvananthapuram, PIN 695012.

VOLUNTEER
Please help us to determine how to make the best use of your skills as a volunteer by filling out the questions below:

1. GENERAL INFORMATION

First Name: _________________________ Last Name: __________________________

Address:________________________________________________________________

_______________________________________________________________________

City: _______________________ State:________________ Postal Code: ___________

Home #: (_____)______________________ Business #:______________ext._________

Cell#: (_____) __________________ Email: ___________________________________

Thank you for your interest in supporting CHILLA’s children! We are happy and moved by the response. Thank you for your enthusiasm and generosity.

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