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Select a Donation Package*
Select Package
20 nursery saplings for Rs.500
20 trees for Rs.1000
25 trees for Rs.1200
50 trees for Rs.2400
100 trees for Rs.5000
200 trees for Rs.10000
500 trees for Rs.24000
First Name*
Last Name*
E-mail Address*
Address*
Country*
Select Country
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Poland
Portugal
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Reunion
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Uganda
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Uruguay
Uzbekistan
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Others
State*
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City*
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Zip*
Contact number*
Occasion for planting*
Occasion Name*
Eg: Birthday of Radha, India winning the World Cup
Date*
-Month-
January
February
March
April
May
June
July
August
September
October
November
December
-Date-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-Year-
2012
2013
2014
Donor's Name
(as it will appear on Certificate).
Bank Name
ICICI
AXIS
I would like to make an offline (Cheque/DD) payment (A receipt will be mailed to you for your donation)*
*Cheque/DD should be drawn in favour of Isha Outreach to the following address:
Isha Outreach
23/7U Raja Nagar 2nd Street,
Sowripalayam
Coimbatore 641 028, India
Tel: +91-422-2580155
Email:
info@ishaoutreach.org
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