Untitled Document
:: Prema Vasam ::
 
( Physiotherapy, Occupational Therapy and Special Education )
Per Child per day
- Rs.      250.00
 
per Month
- Rs.   7,500.00
 
per Year
- Rs. 90,000.00
     
     
 
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 ::