Donation Form

Do you want us to make a donation, please use the form below.

Prefix:
Surname *:
Initial (s) *:
Middle Name (s):
Address + number *:
Postcode*:
Location *:
E-mail address*:
Telephone number*:
Donation *:
Fields with an * are required

When you choose a one-time donation, would you then want to transfer account NL55 INGB 0685 7079 38 t.n.v. Relief Foundation Help Us?

When you choose a monthly donation, we will contact you!

Contact Information:


Address:
Relief Foundation Help Us
Heemraadweg 613
1382HL Weesp

Telephone:
06-25003674

E-mail:
President / Treasurer
Secretary

KVK Number:
34391190

Donations:

Would you like to donate to Relief Foundation Help Us? This my account number NL55 INGB 0685 7079 38