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Kite bracelet ordering form
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Name
*
Your answer
Email address
*
Your answer
Phone number
*
Your answer
How many bracelets you would like to purchase?
*
Your answer
The way of donation
*
3500 HUF in person, in cash (MIRA Ház, 1086 Budapest, Lujza utca 36., until the 15th of December)
3500 HUF via transfer (account nr: 11600006-00000000-98261662, note: bracelet donation)
Required
How to pick up
*
In person (MIRA Ház, 1086 Budapest, Lujza utca 36., until the 15th of December)
By mail (+800 HUF postage costs)
Required
Address of delivery
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Yes, I would like to
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