Pay by card or make a transfer online: Payment form

We would like to be able to thank you for your support, that is why we ask for your mailing address. Thank you.

Items marked with an '*' are obligatory. After filling in the form please press NEXT, on the bottom of the page. You will be redirected to the secure site of the eCard S.A., a registered authorization agent, where you will be able to continue with the donation process. All information from the form below will be used only for donation verification purposes.

Name: *

Surname: *

Company name:

Amount: *

PLN

City:

E-mail:

Street:

Street nr:

Door nr:

P.O. BOX:

Purpose: *

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