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With your donation you give a disabled child a better future.
1 Your donation
I want to donate ...
Once
Monthly
Yearly
i want to donate the following amount
€5
€10
€25
€50
€100
Other
€
2 Payment method
I want to pay as follows
iDEAL
Creditcard
Paypal
Automatic transfer
3 Your information
First name
Last name
Gender
Male
Female
Bank account
(IBAN)
E-mail
Phone number
(not required)
Address
Street number
Zip code
Location
Complete donation
