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If you would like to receive a receipt valid for legal requirements please send an email to divyajyot.org@gmail.com.

For credit card donations:
Give To in USD *


Cancer Research Fund
 
Donation Amount in USD*   (USD)
 
Please put your donations in US $. You can make donations from any credit card account irrelevant of the currency the account is held in. We will automatically deduct the amount equal to the US $ donation you have specified.
 
First Name*
Last Name*
Address*
City*
Country*
Postal Code*
Telephone
Email*
Confirm Email*
Organisation
 
Credit Card Owner*
Credit Card Type*
Credit Card Number*
Credit Card Control Number (CVV2/CVC2/4DBC)*   On the reverse of your card
Expiry Date* Month    Year  
 
You will receive an acknowledgment of your donation to the specified email and, on request, a receipt valid for legal requirements. Your personal data will be treated with absolute confidentiality and under no circumstances communicated to entities or institutions outside Divyajyot Foundation.

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