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I want to become an active sharing partner of HDCS joining hands together to witness Christ in Nepal.



Here is my gift of to be used where most needed /

or _____________________________ (Please Specify)



I enclose my cheque (payable to Human Development & Community Services)



Please charge my credit card (Visa, Master or _____________________.)



Our Banker: Himalayan Bank Limited, Patan Branch, Lalitpur


Expiry Date _______________________________


Account 006 030380 J


Address GPO Box 8975, EPC 1406



Name ______________________


Katmandu, Nepal Ph# 977 1 541164/ 541299


Address _____________________________



Email: hdcs@htp.com.np



Signature ______________________



Thank You for your gift !!!!

HDCS



Date ___________________________




Joining Hands to Witness Christ !!!