Confirmation Form

Confirmation Form Dear Team Udayan Care, We would like to confirm our participation in the ‘Home of Joy’ event initiated by Udayan Care as part of Give India’s Joy of Giving week. We would like to opt for: Gold Partnership (Rs 5,00,000)

Silver Partnership (Rs 3,00,000)

We hereby send 50% of our contribution of the above amount and commit to raising the balance 50% through Employee Contribution. In the event of a shortfall we will cover the necessary gap. Cheque no..................... Drawn on...........................................................dated........................ Please tick the relevant option below: As Gold partner, we understand that as promotional material we will be receiving: 2 Home of Joy boxes, 2 Standees, 500 pledge forms As Silver partner, we understand that as promotional material we will be receiving: 1 Home of Joy box, 1 Standee, 250 pledge forms Additionally we would require the following: Danglers

nos Posters

nos

We would also like our branches to be a part of this event and would require additionally Home of Joy Boxes Posters nos

nos

Standees

nos Plegde forms

nos Danglers

nos

We agree to pay actual costs for the extra Home of Joy boxes. Our Company coordinator will be: Name: ......................................................................................................................................... Designation: ............................................................................................................................... Tel No: ........................................................................................................................................ Mobile No: .................................................................................................................................. Email id: ..................................................................................................................................... Authorised Signatory Name: ......................................................................................................................................... Designation: ............................................................................................................................... Name of Company: ..................................................................................................................... Tel No: ........................................................................................................................................ Mobile No: .................................................................................................................................. Email id: ..................................................................................................................................... 16/97 A, Vikram Vihar, Lajpat Nagar IV, New Delhi 110024. Tel:+ 91-11- 46539272/ 26440151 E-mail: [email protected]