The aid project Klinik Ladakh can only be implemented with the support of sponsors and volunteers. Here you have the possibility to donate your desired amount at regular intervals.
Firm
Salutation * – Bitte auswählen –MrMrs
First name *
Surname *
Email address *
Telephone number
Street *
House number *
Postal code *
Location *
Account holder *
IBAN *
BIC
Kreditinstitut
The following amount (in €) should be donated monthly: *
I have read and understood the privacy policy. I agree to an electronic storage and processing of my entered data to answer my request. Please note: Your consent can be revoked at any time for the future by sending an e-mail to roos@roos-zahnarzt.de . *
I hereby certify that the ticking of this box shall be deemed my signature. *