Sri Guru Gobind Singh Ji Khalsa Garh Malaysia

Contribution Form


Print this page,and mail with your donation to: Sri Guru Gobind Singh Ji Khalsa Garh Malaysia. No. 23, Lorong Tiong Nam Enam 6, Off Jalan Raja Laut 50350, Kuala Lumpur, Malaysia.

I want to invest in Khalsa Garh's future
with my building fund contribution:

 I would like to make monthly contributions to the Khalsa Garh Building Fund:
RM 10.00 per month RM 25.00 per month RM 50.00 per month
RM 75.00 per month RM100 per month     Other: RM _______ per month

I pledge this amount for:

12 months 24 months 36 months Other ______ months

(Monthly donations can be automatically charged to your MasterCard or Visa. Please see below.)

 I would like to donate in kind (i.e. donation of items). Please contact me about my donation.

 I have enclosed a one time contribution of $____________________ for the Building Fund.

Name____________________________________________________________

Address__________________________________________________________

_________________________________________________________________

Day Phone ____________________ Evening Phone ______________________

 My cheque/bank draft is enclosed
 Please send me a receipt

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