(A Unit of Indian Cancer Society)
Donation form
I wish to give a donation-
a) General donation b) Specific donation
Medical assistance-
a) Funds b) Adopt a Child Program
Educational Assistance
Haven-Educational Recreational Centre
Hospital Activity
Outing for Cancer affected family
Gifts for kids with Cancer
Parents Support Group meetings
Awareness Building
KidsCan Konnect - our teenage club for cancer affected teenagers.
Office working expenses.
Projects -
Home away from home
Palliative & Bereavement Counselling Clinic
CanKids resource centre
CanKids childhood Cancer Centre
Contact Detail-
Your Name:
Organisation Name:
Title:
Address:
Email:
Ph no.:
 
Member/Volunteer form
I wish to become a member/volunteer of CanKids...KidsCan.
I am
A Cancer Survivor. I had cancer in (year).
A Primary Caregiver. I looked after my .
A health professional in the area of .
Not directly affected by Cancer but want to help.


Please return your completed membership form and payment to:

CanKids...KidsCan
(A unit of Indian Cancer Society, Delhi Branch)
D-7/7, Vasant Vihar, New Delhi-110057
Ph: 91-11-41663670/71/72

Cheque should be made in favour of "Indian cancer Society a/c CanKids" All donations are exempted from Income tax under section 80G of Income Tax Act 1961

Best Viewed in 1024x768

website powered by