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Patron Application Form
Please fill out all the fields on this form so we can put you in touch with the person who you can help. A coordinator will contact you asap.
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* Indicates required question
Name and surname
*
Your answer
Country and city of residence
*
Your answer
I want to help...
*
financially
by being a volunteer
Other:
Which person would you like to support? (optional)
Your answer
I am ready to help financially with ...
*
one-time payment of funds to the wounded
short-term support (2-4 months)
long-term support (over 4 months)
Other:
How is the most convenient for you to transfer funds?
*
via PayPal
to a Ukrainian bank account
to a currency account of the fund
Other:
What amount of money are you ready to support your person with?
Your answer
Email
*
Your answer
Contact number
*
Your answer
Messenger, which you are the most comfortable using
Your answer
Number used for the messenger
Your answer
In what language can you communicate with a ward?
*
Your answer
Questions or comments
*
Your answer
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