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Acknowledgement
of donation to be sent to (if different from donors details above)
In the case of a credit card donation please provide:
Type of Card
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Name on Card
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Card number
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Expiry date
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Amount
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If you wish to make a standing order contribution
please provide the following information and we will forward it to your
Bank.
Bankers Order:
To.....................................................................................
Bank
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Branch
Date....................................................
On receipt of this Order please pay to the Oriental Bank of Commerce ,
XL, 40/5116 Broadway Branch, Ernakulam, Kerala State India, for credit
to Verapoly Central Council,
Society of St. Vincent de Paul,
Account No. 10552010015050
the sum .......on the first day of..........200...
and thereafter monthly annually until further notice.
Name .................
A/c No. ................
Address................
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Signature
...................
If you wish to make a general contribution to the Society to be spent
in the direction of the Central Council tick here
If you wish your donation to be used for a specific purpose (works) in
a specific geographical location in Verapoly Central Council Area please
tick the appropriate boxes below
Works:
| Food |
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| Clothing |
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| Education |
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| Marriage |
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| Job Assistance |
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| Medical Assistance |
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| Others |
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Locations (see Find Us section):
| Aluva |
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| Chatiyath |
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| Eranakulam East |
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| Eranakulam North |
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| Eranakulam South |
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| Kalamassery |
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| Koonammavu |
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| Kothad |
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| Mangalappuzha |
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| Thottakathukara |
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| Udayamperoor |
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| Varapuzha |
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| Vypin North |
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