Donation form

💖 Donor Information

Full Name:

Address:

City: State: Postal Code:

Phone: Email:

💰 Donation Details

Donation Amount: $

Donation Type: Annual  Monthly  One-Time

Payment Method: Bank Transfer

Bank Details:

Beneficiary Name: Binod Tamang

Account Number: 0290243628800017

Bank Name: NMB Bank

Bank Address: Basundhara, Kathmandu, Nepal

Swift Code: NMBBNPKAXXX

🎯 Donation Purpose

Membership  Training & Development  Women & Youth Program
Community Outreach  Event & Exchanges  Sustainability Fund
Tourism & Rugby Projects  Other:

📝 Acknowledgement

Would you like a donation receipt?  No  Yes

Preferred delivery method:  Postal Mail  Email

Signature of Donor: _________________________ Date: ____________________