Membership ID (FSSO Members only)

    Appreciating and recognizing the noble cause undertaken by the Management of FSSO to help people of our community facing financial difficulties for the funeral arrangement, on merit basis. I, the undersigned

    do hereby authorize the Funeral Support Services Organization to withdraw the following marked amount from my under mentioned Bank Account as my contribution.

    Account Information:

    Bank Address: (Optional)

    Attach Void Cheque (FSSO Member do not attach a void cheque)

    Donor Information