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DONATION PLEDGE FORM:

"Donation are Tax-Deductible from Federal-Tax."

I Undersigned:

Mr./Mrs.___________________________

Address:___________________________

City :_________________State:________

Zip code:______________

Phone # :__________________________

Gam Name:__________________________

Donating following amount for the Excellent English Medium School.

(1) TRUSTEE $12,000(5Lakhs)
(2) LIFE MEMBER $1000 To $5000
(3) MEMBER $500
(4) DONOR $300

Donation amount aggreed:$___________________________

Donation amount paid :$___________________________

Signature of Donor: ___________________Date:________

Signature of Person receiving this pledge form:___________________________Date:_______________

If you want to donate to the Excellent English Medium School, Please send your donation payable to "24-Gam School Fund" at 67 Canterbury CT.,

Piscataway, NJ 08854. We will mail your receipt in the mail.

Thank you for your Cooperation.