Form for single donations or membership
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 First Name

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If you would like to support our activites
with a single donation or if you want to be
a supporting member please fill out this form.

Alternativly you can make single donations
also directly to our account or send us the
membership form via post to the address of
our charitable trust:
www.humandreams.org/membership.pdf

  
*
 Name
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 Email
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 Street
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 City/Code
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 Country
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 Acc. Holder *IBAN
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 Bank Name *BIC
 
*
 Amount
(minimum: 5 € per month or 10 € per year)
*

single
aaadonation

aamembership:a per year per month
Fördermitgliedsca(we will send you a Membership Certificate)

Newsletter
*
 Yes, I agree that the charitable trust Human Dreams (Schwarzwaldstr.24, 73527 Schwäbisch Gmünd,
a a Germany) debits my account with this amount. I can change my decision at any time by writing to the trust.