Membership form of Seeb-e Sorkh Charity

Full name and Surname(*)

Birth Date




Residential Address

Contact number(*)

Email address

How did you learn about Seeb-e Sorkh Charity?(*)

How would you like to keep informed about this organisation activities?(*)

In what areas would you like to help and support us?(*)

If you chose any of above items please explain your professional area

Are you willing to offer financial support? If yes in what category?
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Security code(*)