Donation by wire transfer

  1. Personal details
  2. First Name *
    *
  3. Last name *
    *
  4. Street *
    *
  5. Street number *
    *
  6. Number
    *
  7. Floor
    *
  8. Postal code *
    *
  9. City *
    *
  10. Country *
    *
  11. Phone number *
    *
  12. Others
    *
  13. Email *
    *
  14. Type Identification *
    *
  15. NIF/CIF *
    *

  16. Help us by donating through a wire transfer:
  17. *
    *

  18. I want to work with a contribution of:
  19. Choose amount *
    *
  20. Amount *
    *
     €

  21. Recorda que pots desgravar en la declaració de la renda. Per a això, és imprescindible que disposem del teu NIF/DNI
  22. Si decideixes rebre certificació anual remet-nos aquest formulari degudament emplenat.
  23. Your personal data will be incorporated into an automated file for Por una Sonrisa en Africa to stay informed about our activities. We guarantee that the data are confidential and exclusive use by Por una Sonrisa en Africa. If you wish, you can access them, correct or cancel by writing to Calle Álava 12 – Bajos 1, 08005 Barcelona.
  24. If you do not wish to receive information, check the box:
  25. Invalid Input

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