Taking over godpatenrethood

info.apariv@gmail.com

_{I can't save all the dogs in the world, but I can save the whole wourld of one dog!}

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With dispatch the order of the sponsorships is binding. The total amount is to be paid to the following account within two weeks after the order has been placed or monthly on the first of each month, unless a direct debit authorisation has been granted.

APARiV, IBAN: ES86 2100 2951 3702 0001 5277, BIC: CAIXESBBXXX

Data protection notice: By sending the order, the applicant agrees that the APARiV association stores all data concerning this. The data will be used exclusively for internal association matters. Regarding data protection we refer to the data protection declaration of the APARiV association.

*Required information.

This is a security field. If you want this form being sent leave the following email field blank:

I would like to support the following animal with a godparenthood *

Orderer: Last name *

First name *

Street, house no. *

Postcode Place of residence *

Date of birth *

Phone number fixed

Phone number mobile

email *

The support shall be provided through a single payment, namely

1 month - payment once 10,- €

2 months - payment once 20,- €

3 months - payment once 30,- €

6 months - payment once 60,- €

12 months - payment once 120,- €

The support is provided through monthly payments of €

I would like to execute my godparent money for APARiV by direct debit and hereby authorise APARiV to execute the direct debit for the listed payments. I am aware that I can revoke this authorisation in writing at any time without giving reasons!

monthly 1st of the month

monthly 15th of the month

quarterly (on 01.01., 01.04., 01.07., 01.10. of the year)

annually (on 01.01. each year)

Account holder

IBAN

BIC

Bank

I have read and understood the data protection notice and agree to the storage of my personal data in accordance with the data protection notice *

Place *

Date of application *

virtual signature *