Company:
Name:
First name:
House number and street:
Town/city and postal code:
e-mail:
The following amount
30,00 EURO
100,00 EURO
50,00 EURO
125,00 EURO
75,00 EURO
Do you require a Charitable Donation Certificate?
yes
no
(For a donation of up to 50.00 EURO the Inland Revenue Office in Germany accepts a statement of account or a receipt. If you require a Charitable Donation Certificate, please fill in your full name and address:)
Registration in our list of donors?
Please send your donation by bank transfer to: