If you prefer to fill a paper form, click here, download the pdf, fill all the fields and send it over to firstname.lastname@example.org!
Complete address: *
Zip code and city: *
Telephone / cellphone: *
This certificate is an offer to:
Message to state in the certificate:
Type of animal: *
Monthly value (€): *
Periodicity of donation: *
Donation method: *
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Information collected, including names, phone numbers, email address and postal address, will only be used for the purpose of fostering related to Bianca Charity, and will be treated in confidence and not be disclosed to any other parties. If you wish to access or correct your personal data, please send e-mail to Bianca Charity using the following email email@example.com.
If you need to contact Bianca, see contact information here.
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