Comunitï¿½ di Sant'Egidio

Form for credit card donations

Fill out the form completely, print it and send it by mail or fax to the Community address here on the right.

Comunitï¿½ di Sant'Egidio
Piazza Sant'Egidio, 3a
00153 Roma (Italy)
tel +39 06 585661
fax +39 06 5883625

I undertake to support the activities of the Community of Sant'Egidio by donating the amount indicated below. I consent to the sum being withdrawn from by bank account:

Surname and Name
Legal name of donor
Address
Postal code	City
Province/County	Telephone Fax
Country
Tax code	VAT number
Currency	amount in figures
in letters
For specify project


I authorise you to withdraw the amount from by bank account

Card
Number	- - - date of expiry -

Date

Signature

The Community of Sant'Egidio, being a recognised Ecclesiastical body, is a ONLUS.
All contributions are tax deductible.

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