DAD Bağış Formu

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DAD Bağış Formu

Doktorlar Arası Dayanışma Derneğine yapılan bağışlarda bu formun doldurulması mecburidir

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İsim, Soyisim *

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TC Numaranız *

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Telefon numaranız *

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Yaşadığınız Şehir *

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Bağış Miktarı *

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