District Membership Form
Name of NGO   ________________________________________________ 
Contact Person   ________________________________________________ 
Email of Contact Person   ____________________________________________ 
Address

_________________________________________________________________

________________________________________________________________

________________________________________________________________

Telephone No.   ___________________________________ 
Fax No.   ___________________________________ 
Website   ___________________________________ 
 
Details of DD ( DD to be payable to IndianNGOs.com Pvt Ltd. Mumbai based NGOs can pay by cheque).
Amount

Rs. 5,618/- (Basic fee Rs.5,000/- + 12.36% Service Tax)
(Rupees Five Thousand Six Hundred Eighteen Only)

Mode of Payment

Cash Credit in ICICI Bank
Cheque Credit in ICICI Bank
DD by Courier
Cheque
by Courier

DD / Cheque No.   ___________________________________ 
DD / Cheque Dated   ___________________________________ 
Bank   ___________________________________ 
 

 

Send the form and fees to
Pragati Nandgaonkar

IndianNGOs.com Pvt Ltd
6 Devendra Apartments
Next to Sahyog Mandir
Ghantali, Naupada
Thane 400602
Email : Pragati@IndianNGOs.com