Sepa Transfer

Form Of Address (Selection)

FamilyMrsMrCompany

Title

First Name *

Last Name *

Street / P.O. Box *

ZIP Code *

Town *

Country *

Phone

Fax

E-Mail *

I am already a donor

Amount in € *

Usage (Selection)

GeneralHealthcareEducationEducation KaratuInfrastructure

Payment (Selection)

oncemonthlyquarterlyhalf-yearlyyearly

SEPA – Direct debit mandate

Creditor ID: DE 52 AKO 00000 371028

Mandate reference:

I authorize (we authorize) the association AKO Aktionskreis Ostafrika e.V. to collect payments from my (our) account by direct debit. I (we) also advise my (our) credit institution to pay the direct debits drawn from my account by the Association AKO Aktionskreis Ostafrika e.V.

Note: I can (we can) charge the reimbursement of the charged amount within eight weeks, beginning with the debit date. The agreed terms with my (our) credit institution are valid.

BIC

IBAN *

Account Owner *

Donation receipt requested

For your donation of 200 euros or more you will receive a certificate of donation as long as we have your complete address. For amounts lower than 200 euros a copy of your bank statement is sufficient for German tax offices. On special request we will also send you a certificate of donation for an amount of 50 Euro.

I agree that this amount will be collected by direct debit from my account. If my account does not have sufficient money, there is no obligation on the part of the account-keeping institution to redeem. This authorization can be terminated at any time.

Comment

* Required fields

Aktionskreis Ostafrika e.V.

Rosenheimer Str. 20

83278 Traunstein

Germany

Phone: +49 861 4395

Fax: +49 861 164249

Email: spenden@aktionskreis-ostafrika.de

Donation-Form with SSL-Encryption

The transmission of your data is encrypted using the Secure Sockets Layer method, which is also used in homebanking. Your entries can not be read by unauthorized persons.

Yes, I do accept the privacy policy