Payment

Please fill this form only if you have been directed to make a payment by one of our Samiti members. Please note the person’s name in the reference.

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Contact/Reference

Please provide the name of Samiti member who you are working with. Or just some context so that we can take required action.

Your Name Method

Your Name *

Your Email *

Your Phone # *

Payment Amount *

Please enter the amount as instructed to you by Samiti member.

Total

$0.00

Payment Method

• Credit Card/ApplePay/GPay
• Paypal

Credit Card/ApplePay/GPay *

Submit