Donation Form

Support Solucham

Help our organization by donating today! All donations go directly to making a difference for our cause.

How much would you like to donate? As a contributor to Solucham we make sure your donation goes directly to supporting our cause. Recurrent donations should be performed by bank transfert, please select offline donation.

€ Donation Amount:

Who is giving today?

Your personnal data will remain confidential. Recurrent donations should be performed by bank transfert, please select offline donation.

Personal Info

First Name *

Last Name *

Is this donation on behalf of a company?

No
Yes

Company Name

Email Address *

Comment

Here's what you're about to donate:

Donation summary
Payment amount
Giving frequency	One time
Donation Total

Select Payment Method

Donate with Offline donation
Donate with SEPA Direct Débit
Donate with Credit card

IBAN Info

This is a secure SSL encrypted payment.

IBAN *

By providing your IBAN and confirming this payment, you are authorizing Solucham and Stripe, our payment service provider, to send instructions to your bank to debit your account in accordance with those instructions. You are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.

Billing Details

Country *

Address 1 *

Address 2

City *

County *

Zip / Postal Code *

Terms

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Accept the T&Cs ?

Donation Total: €50