Prasad - Global Donations - Partner donations

A year after our first report about Gotya, PRASAD visited our youngest eye surgery patient to see how he is doing. That happy smile says it all! Read more

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Well Baby Event Celebrates Healthy Children
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Donations Form

Preferred Title
First Name *
Middle Initial
Last Name *

Address *

City
State/Province
Country
Zip/Postal Code
Home Phone (xxx) xxx-xxxx
Day Phone (xxx) xxx-xxxx
E-mail Address *
I want to receive e-mail updates
Amount $ (5.00)

I would like to make a:

Weekly Donation
Quarterly Donation Monthly Donation
One Time Donation

To offer your gift as an Honor/Memoriam complete the fields below

In Honor
In Memory Name/Occasion:

Please complete the following information with regard to the person you wish to receive notification of your gift

Name:
Complete Address:
Comments:

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