Untitled Document
:: Prema Vasam ::
 
Break fast
 -
Rs. 1500
  
 
Lunch
 -
Rs. 2500
 ( Vegetarian )
 
  -
Rs. 3500
 ( Non - Vegetarian )
 
Supper
 -
Rs. 1500
  
       
       
Total
 -
Rs. 5500 / 6500
  
       
 
 
Name of the Donar :
 
Occupation :
 
Donation Options * :
 
Communication Address :
 
Telephone No. :
   ex : +91 44 1234 5678
 
Mobile No. :
   ex : +91 99999 99999
 
E-mail ID * :
 
Any Wishes :
 
   
     
 
 
( If you want to Donate for Our Children, Please fill and submit the Wishes Form and after you make the Donation )
  
 
:: Prema Vasam ::
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