Angels Care Foundation

Sponsorship form for the underprivileged children with Intellectual & Multiple Disabilities and Autism
    
Name: ______________________________________________________
__________________________________________________

Sex:        Male          Female         

Occupation:  _______________________________________________

Contact Address : _________________________________________
___________________________________________________         

Telephone: ________________________

E-mail :_________________________________________
     
Yearly Sponsorship per child: Taka 36,388/-                              

Number of Children: 1 2 4 5 More…………

Mode of Payment:                 Cash  Cheque

For Organization Sponsor : Represented by:_____________________
_____________________________________________________                

_____________________
            Signature

For office use only

Sponsorship nr………                                Sponsorship hereby accepted                               
                                                                                                                                                                                _____________________
Date:___/___/___                                                Signature