I hereby declare,
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Name, firstname | |
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street | |
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zip code/city | |
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telephone | |
that I accept a sponsorship for the support of a dog to the amount of monthly €_________ (Minimum € 12,00 per month). | |
This amount will be paid quarterly and is without any obligation. For appreziation, I will receive a certificate of “my dog” after the payment is made. | |
Mode of payment: | quarterly: |
I would like a tax certificate: | yes / no (Please mark) |
Mode of payment: | Banktransfer to the following account: |
The sponsorship can volountarily be extended by the sponsor for three months until we found a home for the dog. Should we find a home before the three months, we can offer a refund. | |
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date/signature | |
Christine Prochnow (1. Vorsitzende) Benzmannstr. 36 12167 Berlin Tel./FAX 030-796 13 07 Mobil 0171-687 34 68 |
Birgit Nispel (2. Vorsitzende) Am Wiesenrain 24 12587 Berlin Tel. : 030-641 97 182 Fax.: 030-644 88 092 |
Postanschrift: Christine Prochnow * Postfach 41 06 48 * 12116 Berlin