Donate • BAPS Charities

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BAPS Charities Free Clinic & Dispensary
Kisutu Street ,
Dar-es-Salaam,

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Make a donation without creating an account. However, you will not be able to review your contributions later.

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Username * (Public)

* Must be unique and can only contain lowercase letters, numbers, or hyphens -

Usernames will be used for your public Profile Page.
https://www.bapscharities.org/user/{{ userRequest.username }}

* Usernames cannot be changed

Display Name * (Public)

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First Name *

Last Name *

Email *

Phone

Gender *

Birth Year * You must be 18+ to Register

Country *

Street Address May be required for some Registrations

City *

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Zip/Postal Code

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Password

Password *

* Must be at least 8 characters long and contain one lower and uppercase letter, one number, and one special character.

Confirm Password *

You must accept the Terms and Conditions and agree to our Privacy Policy *

I confirm that I am the age of 18 or over and have read and agree to the Terms and Conditions

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Donation Form

Donating To: BAPS Charities Free Clinic & Dispensary, Dar-es-Salaam, Tanzania

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First Name *

Last Name *

Email *

Phone

Payment

Credit Card Number *

Exp. Date *

CVV Code *

Billing Information

Name on Card *

Address *

City *

Country *

State/Province * Region *

Zip / Postal Code *

I agree to the BAPS Charities Terms and Conditions.

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Donate to BAPS Charities Free Clinic & Dispensary, Dar-es-Salaam, Tanzania

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Donating To: BAPS Charities Free Clinic & Dispensary, Dar-es-Salaam, Tanzania

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Donate to BAPS Charities Free Clinic & Dispensary, Dar-es-Salaam, Tanzania

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Donation Form

Donating To: BAPS Charities Free Clinic & Dispensary, Dar-es-Salaam, Tanzania

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