Become a private donor of MCNV

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With this form you become a private donor of MCNV. You will receive the MCNV magazine by e-mail four times a year.

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Name *

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Gender

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Date of Birth

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Adress *

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Zipcode *

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City *

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Country *

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E-mail *

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Phone number

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Amount

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Bank account

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Way to donate

I transferred this amount to MCNV's bank account NL16INGB0001090400

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This form was created inside of MCNV.