Donation form for SAMUHA Activities
Thank you for your Contribution to support SAMUHA activities
Your contribution is covered under 80G.
Please enter the Amount and other details. We will issue an official receipt for the same.
I am the citizen of :*  
Your Name :*
Address :*
City :*
State :*
Zip :*
Mob. :*
Email :*
I/We would like to contribute * /- towards

Additional Info(if any):
(This will take you to our secure payment gateway - CCAvenue )

Payment Gateway Secured with