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Donating made easy -- Collection Authorisation



FoeBuD e.V.
Marktstraße 18
33602 Bielefeld

YES! I want to support the FoeBuD association's work. Please withdraw the following monthly amount from my German bank account, with immediate effect:

10 € 25 € 50 € 150 €

or €


full name or company/organisation


street address


post code and place (country)


account no. and BLZ (German bank code)


bank

I hereby authorise you (subject to cancellation) to withdraw the stated amount by direct debit. Should my account not provide sufficient funds, the bank is not obliged to cover the amount. Partial payments are not provided by direct debit.




place / date / signature (stamp, if applicable)