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Donation form

Name of the Donor
Address
Contact email
Telephone number
Fax No
Number of schools to sponsor
Number of years you would support this school*
Your preferred state for sponsoring school**
Amount paid
Cheque number, if applicable***
Direct debit reference code****
Are you able to provide few more contacts who will support this cause
Who has contacted you from Ekal Vidyalaya Foundation
Remarks/ Special request

*Generally we would appreciate support for 5 years per school. We expect the schools
to be self-sufficient with in this period of time.
** We will try to get your preferred state, however due to administrative reasons it is possible      that we may have to allocate some other state, hence please give more than one preference.
*** Cheque in the name of ‘Ekal Vidyalaya Foundation of New Zealand' - Post it to 24, Western Heights Drive, Hamilton - 3200, New Zealand
**** Account Number - 12 3152 0203767 00 (ASB Bank - Angelsea Clinic Branch, Hamilton)


Signature                         Date                      


On Behalf of Ekal Vidyalaya Foundation of New Zealand
we sincerely thank you
for your support