ROOTS FOUNDATION

Donor Information

Full Name
Date of Birth
Address
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PAN(for 80G receipt)
Preferred Communication Mode	Email WhatsApp SMS

Contribution Details

Type of Contribution	One-time Gift Monthly Quarterly Annual Pledge Occasion-based(Birthday / Anniversary / Memorial / Other)
Preferred Date of Contribution
Amount Committed (₹)
Mode of Payment	UPI Bank Transfer Cheque Cash
Recurring Contribution	Yes, I wish to contribute annually on this date No
Family or Group Participation	Would you like to include others in this giving tradition? Yes (Please list names and relation) No
Message to ROOTS (Optional)

Declaration

I hereby commit to supporting ROOTS Foundation in its mission to empower communities. I understand that my contribution will be used for charitable purposes and that I may receive updates and impact reports.