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Please print this page and send by post |
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Sponsor - A - Child |
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Yes, I want to sponsor a child! Please send me my child's picture and background information |
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| us$ 240 for one year | ||||
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Application Form |
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Name |
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Address |
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Country |
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Date of Birth |
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Telephone |
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Fax |
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E- mail |
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Comments |
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| Bank Information | ||||
| Name of account holder : Integrated Action Trust | ||||
| Account number : 01100070354 | ||||
| Name of Bank : State Bank of India | ||||
| Tiruchirapalli TownBranch(1312) | ||||
| Tiruchirapalli - 620 002 | ||||
| Tamilnadu, India | ||||
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Thank you for caring |
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