Membership Form - NGOSamachar.com

Your Subscription will be for 1 (one) year of term from the date we receives payment in our account.

Name of Organisation *
Contact Person *
Designation of Contact Person
Email Address of Organisation *
Postal Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Telephone No *
Fax No. *
Website of Organisation
All the payments (cheque/dd) should be made in favor of "U. M. Naidu"
Amount: 3,000.00 Rs.
DD / Cheque No.
DD / Cheque Date
DD / Cheque from Bank