Arnika - Donors form

Donors form

Thank you for agreeing to donate and support Arnika’s activities.

Please complete your details for easier identification of your gift.
Title *

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Full Name *

Please type your full name.
E-mail *

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Country *

Please tell us how big is your company.
Postcode

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Address

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City

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Telephone

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Type of gift

Single donation
Regular donation - monthly
Regular donation - quarterly
Regular donation - yearly
Amount

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My bank account number

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I am interested in

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Leave a message

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Arnika may contact you in the future about our work and how you can support us. If you prefer not to be contacted, please let us know.

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