Online Donation

An initiative for organ donation

Name (As appearing on your Card) *

Credit Card Billing Address (As appearing on your Card Statement) *

City *

State *

Pin Code/Zip Code *

Country *

Mobile No. *

Email Address *

Donation Details

Donation Amount (₹) *

Note:

The information which you are entering in the above form is confidential and we will not share to anyone for any reason. The information you provide is strictly confidential.

“Donate Life”

Opp. IDBI Bank, Nr. Kasanagar, Katargam, Surat-395004, Gujarat, India.
Phone No: +91-7573011101/03/06/07
Gmail: [email protected]
website: www.donatelife.org.in
Toll Free Number: 1800 200 1944

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