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“Society for National Integration for Rural Development”- (SNIRD)
Credit Card Payment Form
Credit Card Payment Form for VISA and MASTER card
Please fill in the form and print it before mailing to the
given address below
 
  Name
  Address
 
  City
  State
  Zip/Pin Code
  Phone
  E mail
   
Yes! I would like to donate towards Society for National Integration for Rural Development (SNIRD)an amount of
  Rs
  Credit Card Type
  Date of Expiry DD M Y
  Credit Card No
Date of birth DD M Y
  Place
  Date DD M Y
Please credit the said amount to “SNIRD “
 
Signature: _____________________________
 

Please mail the form to the address below:

…………………………cut here to use below text as address label…………………………

Society for National Integration for Rural Development (SNIRD)

Godfrey.G.P.Jawahar, MSW
Executive Secretary,
SNIRD,Raipet,
ONGOLE – 523 001.
Prakasam District.
Andhra Pradesh.

Tel :  +91-08592 – 232008 / 228336.
Fax : +91-08592-232008.

Email : snird_org@yahoo.com & snird@snird.in

Website : www.snird.in