ONLINE DONATION FORM

I DONATE THE FOLLOWING AMOUNT

• €25
• €50
• €75
• €75
• €150
• €75
• €150
• €1000
• €10,000
• €25,000
• €50,000

Frequency of my donation

• Every Month
• One-off payment

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Last Name *

E-mail *

IBAN | International Bank Account Number

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