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Diocesan Charity in
České Budějovice

Cross-Border Adoption » Contact Form for the Cross-Border Adoption

Contact Form for the Cross-Border Adoption

Dear donors, we would like to thank you very much for your donation for the support of the Cross-Border Adoption project. We would like to ask you for filling in this form with correct data so that the Adoption could be successfully performed.

Thank you very much,the Diocesan Charity in České Budějovice.

Cross-Border Adoption – the information you provide us serves only for the needs of the database of the Cross-Border Adoption project.

Zimbabwe

Belarus

Parent´s Address *

Name *

Surname *

Phone Number

E-mail *

I would like to adopt:

Boy

Girl

Any Child

Number and Name of the Child from the List *

List of children Africa, Belarus

For how long you would like to adopt the child

For one year

For two years

For more years (please, indicate)

During his or her primary education

During the whole school education

The donation will be remitted to the Diocesan Charity in České Budějovice

via bank transfer

in cash

via postal order

Account number for sending the donation 1000039938/5500

Variable symbol

Zimbabwe VS 41 KS 558

Belarus VS 33 KS 558

The financial donation will be provided

Annually

Semi-annually

On a quarterly basis

Monthly

Account Number from where the contribution was sent

Request for donation receipt

Yes

No

The donation receipt will be for a person / a company

Please, indicate the name, surname (for companies, include also the name of the company and company registration number) and address.

Send me the receipt

by March 31 of the following year (the self-employed)

by February 14 of the following year (employee)

as soon as possible (for lump-sum donation within one calendar year)

I ask for the receipt for the calendar year (please, indicate)

Comments

In case of non-standard requirements, such as different mailing address, more bank accounts and so on, please, write your comment

SPAM guard: rewrite the control number. If You can not read the number, Refresh the picture.

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