Fields marked with * are mandatory.

Step 1: Indicates the donation type

Donation type

Bank card or PayPal    Charged to

This type of contribution is made ​​through paypal with credit/debit card or your own paypal account.This type of contribution requires a bank account.


Or also

If you prefer to make a direct deposit into the account can do:

    Deduction from Income Statement or Company Tax

    I want to receive the certificate for the I.R.P.F. or Company Tax NoYes

    If yes, you mus give us the Name that will appear on PayPal


    your Identity Card Number      and your Zip Code   

    The remaining data required will be requested in paypal.


    I confirm that I have read and accepted the Privacy legal advice.

     

    By clicking the button you will be redirected to paypal to make your donation with credit/debit card or your own paypal account.

     

      Who are you?

      PrivateCompany


      Name/Company Name and Identity Card Number



      Contact

      Home



      Your contribution

      Amount *: euros   ·   Regularity *:

      from month /

      in the month /

      Debit

      Bank account I.B.A.N.


      Deduction from Income StatementCompany Tax

      I want to receive the certificate for the I.R.P.F.Company Tax purposes NoYes

      If yes, please fill in your Identity Card Number and you Zip Code


      Other Information

      I confirm that I have read and accepted the Privacy legal advice.

       

      By submitting my information I authorize Delwende “Al servicio de la vida” to charge my donation in the bank account indicated above.


      Or if you prefer…

      You can also get off this form and return it to us filled out to Delwende al Servicio de la Vida. Plaza Madre Molas 1 – 28036 Madrid (Spain) or send it by email to socios@delwende.org.