Name * Phone / Mobile * Address Email * Donation Details (Tick Whichever is Applicable) * Patron-Rs.10,00,000/- Donor-Rs.1,00,000/- Life Member-Rs. 50,000/- Sustaining Member-Rs. 10,000/- Heart Felt Donation Heart Felt Donation Rs. Please mail your Donation Confirmation along with Your payment by means of Demand Draft or Par Cheque in favor of LIFE FOUNDATION. Cheque/DD.No * Alternatively, you may deposit the money into our online account, the details of which are: LIFE FOUNDATION, Account No. 3292000100057801, KARNATAKA BANK LTD., Bank MICR Code No. 500052004, Bank IFSC Code No. KARB0000329 Note: Donations to ‘Life Foundation’ are eligible for exemption under Section 80G of the Income Tax Act, 1961. Please mention clearly: 1. Name of individual/organization on whose name the 80G receipt needs to be issued 2. PAN No. of the same individual/organization CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.