Note: this form can only be used if you are in the SEPA region (Europe). If this is not the case, please take a look at the other ways to give.
Donation amount (in euros)
Project to be supported
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In the name of
Optional comments on donation
Hereby, I authorize the GlobalRize Netherlands Foundation to charge the above amount once / periodic. This amount is a donation to the foundation. There is a 30-day legal refusal period. With periodic authorizations, the amount will be charged on the first day of the month.
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Fill in if you want to receive a copy of the authorization by e-mail.