Child Sponsorship Form

Thalassaemia Society of Pakistan is looking after the treatment of Thalassaemic children admitted at Thalassaemia Center in         Sir Ganga Ram Hospital Lahore free of cost. Thalassaemia Society requests you to come forward and help these sick children by sponsoring the treatment of one child or more. Cost of sponsoring a child is Rs. 4000/- per month.

Sponsor’s Name: _______________________________________

Address: ______________________________________________

______________________________________________________

Contact No’s:
Res: ______________________ Office: _____________________

Mobile:___________________ E-mail:______________________

Blood Group: __________________________________________

Please specify the number of children you want to sponsor. ______

How would you like to pay? Please Tick One.

Monthly	 	Quarterly		Biennially		Yearly	

The details of the child you are sponsoring would be provided to you. Arrangements will be made, if you would like to meet the child in person.

Signatures:	_________________

Date: _____________________