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ASSOCIATES

 Welcome to CLF Associate Club. Give a gift of life.

 I / we enclose herewith a Cheque / DD No : ____________________  Dated____________

draw on ________________________      branch for Rs  _______________  (Rupees:

_______ ___________________________ ) towards my / our contribution for Chennai

Liver Foundation, Chennai .   

Please acknowledge receipt.

Thanking you
Yours  

Signature _________________________                                             
                              

Kindly send your contribution by Cheque/Demand Draft/Credit Card,
in the name of CHENNAI  LIVER  FOUNDATION
                Contact : Dr.R.P.Shanmugam
                               Founder Trustee
                               A-1, Alsacres Court, Landons Road,
                               Kilpauk, Chennai, South India - 600 010
                               Phone : +91-44-6414200/6432300
                               Fax : 0091-44-6411069
                               Email : drshanmugam@yahoo.com , admin@chennailiverfoundation.org
     

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Or if you would like to get more information on being an organ donor or to receive an organ donor card, please contact info@chennailiverfoundation.org

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