Print out the Donation Form and send it with your donation to our Supporter Services Team at: Sunrider Protibandhi Kalayan Sangstha   Road#6, House #29,Nadhidara R/A Aganagar, Keraniganj,Dhaka-1310,Bangladesh.   To make a donation to Sunrider Protibandhi Kalayan Sangstha, please print out this form, complete it and post to:     Yes, I want to make a real difference to the lives of blind people! Please accept my gift of:   0USD 15   0USD 25  0USD 50  0USD 100  0USD 500  0USD 1000  0Other________________   Title ______    First Name_______________   LastName______________________   Address____________________________________________________________________                     ______________________________________________________________________________   Town / City __________________________________________________________________________   Post / ZipCode________________________Country_____________________________________   e-mail________________________  Telephone _______________   ˆ I enclose a cheque made payable to: Md.Munir Hossain on behalf of Sunrider Protibandhi Kalayan Sangstha   ˆ I would like to give through my Visa/ MasterCard/ Switch/ Delta/ CAF CharityCard.   Card number:     Issue No.         Expiry date                           Signature _________________________   Todays date _________________________   0Please tick this box only if you wish to receive an acknowledgement. 0Gift Aid Declaration (please tick if you canโ€œ it really makes a difference!)   I want Sunrider Protibandhi Kalayan Sangstha to reclaim the tax paid on my donations.  Please treat all my donations from 6 April 2000 and until further notice as Gift Aid.  I am a UK/USA taxpayer where the amount of tax and/or capital gains tax is at least equal to the tax to be reclaimed by Sunrider Protibandhi Kalayan Sangstha (currently 28p for every USD 1 that I give).   Signature______________________  Todays Date______________________________       N.B.  Any information supplied by you is subject to the provisions of the Bangladesh. Data Protection Act.  We can, on occasion, raise more funds for blind and partially sighted people by approaching supporters of other voluntary organisations and allowing them to contact our supporters in return.  If you prefer not to be contacted in this way, please tick this box.