Sri Muneeswaran temple's Pledge form

PHASE II
CONSTRUCTION OF THE
SRI MUNEESWARAN TEMPLE
(MULTIPURPOSE HALL)

Donation form

I would like to make a contribution of

My scheme for monthly contribution as follows:
S$100X50Months
S$200X25Months
S$300X17Months

My mode of contribution to any of the above scheme would be:
Cash
Giro (Please Down load the Giro form also)
Amex
Cheque

With effect from

Please complete these particulars

Name
Address
NRIC/Passport No
Tel No	(O) (R)
Hand Phone/Pager
e-mail

Cheque contributions must be made payable to :
Muneeswaran Temple Building Fund
Please Note:

Only Management /Building Fund committee members with temple identification passes are allowed to collect cash funds
On payement, Receipts will be issued/mailed to donor within two weeks.
For more information please call
Building Fund co-ordinator/clerk at
Tel. 4735037/4756203 or Fax: 4725883