Online Donation Form - Al-Shifa Trust Eye Hospital Pakistan

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Online Donation Form

Online Donation Form

How to send donation

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Donations from all countries are accepted through this form

Online Donation Form

Name:	*
Organization:	(If on behalf of an organization or group of people)
E-mail:
Address:	*
City:	*
State/Province:
Zip:
Country:	*
Phone/Cell:	*
Personal Message:	(Please do not use special characters (',*))
Donation Information
Amount (PKR):	*
Donation Type:	*
For:	*
Payment Method:	*
4 + 9 =	*