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* Mandatory fields
NGO Focus * :
Name of NGO * :
Is it a Special Occasion? : Yes    No
Nature of Donation :
Method of Donation : I will coordinate with the NGO directly for cheque collection/tax deduction certificate.
The NGO can contact me to pick up the cheque and give me the tax deduction certificate
Amount :
Your Contact Details    
First Name * :
Last Name * :
Contact Details    
Email ID * :
Pan Number :
Telephone * : - -
(country code - std code - number)
Mobile :
Address :
Zip / Postal Code :
City:  :
State:  :
Country * :
Authorization : I authorize HYNGO to send me emails in the future  
I authorize the NGO to send me emails in the future

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