Yes, I'd like to support Back-on-Track Europe a.i.s.b.l.:
First Name*
Surname*
E-Mail*
How would you like to donate?* by direct debit (SEPA)by PayPal
Amount in EUR*
IBAN*
By submitting my IBAN, I authorise Back-on-Track Germany e.V. to withdraw the one-time donation from my account by direct debit. At the same time I instruct my credit institute to serve the direct debits drawn on my account by Back-on-Track Germany e.V. I can request a refund of the debited amount within eight weeks, starting with the date of debit. The terms and conditions agreed with my (our) credit institution apply. By submitting I agree to processing of my data in the donation database.*
Do you need a donation receipt?
(this might required for example to submit a donation for tax-deduction)
Yes, send a donation receipt
PostCode:
* = required data
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