Donor Account Information

For Pre-authorized transfer payments

Please Fill All The Required Fields

Donor Information

Applicant's First Name *

Applicant's Middle Name

Applicant's Last Name *

Address 1*

Address 2

City *

Province *

Postal Code *

Phone Number *

Mobile *

Email *

Banking Information

Name of Bank*

Branch Address*

City *

Province *

Postal Code *

Transit *

Institution No. *

Account *

Dear Donor, your donation of:

$10/month: covers our expenses for delivering 4 meals to 1 client for 1 week

$25/month: pays our delivery expenses for 3 clients getting 4 meals each for 1 week

Donation Information

DONATION AMOUNT ($): pays our delivery expenses for 3 clients getting 4 meals each for 1 week

This form provides account information in place of a voided cheque and will be used to arrange pre-authorized payments by donors to Langar Seva Meal & Support Services.

I authorize transfer of funds from my above stated account into that of Langar Seva Meal & Support Services as indicated above.

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Date

When you find yourself staring into the oblivion, we hope to help you find the path of light and enlightenment.

When you feel low and depressed, we hope to help you find the strength within and the faith above.

We hope to make you independent of yourself and dependent on the Almighty. We hope to give you the strength at your lowest, and humbleness at your highest.

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