JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Charity
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name + Surname
*
Your answer
I would like to donate money to the Charicie. This money will be donated to Toentje once all the donations are collected.
*
Yes
I would like to donate...
*
€2,50,-
€5,00,-
€10,00,-
Bank account number (IBAN)
*
Your answer
Initials + last name of the bank account holder
*
Your answer
I allow Study Association Esperia to withdraw the donation (€2,50, €5, or €10,00 ) from my bank account
*
I understand and agree with this condition
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Esperia.
Report Abuse
Forms
