Donation form for Rolf Externbrink

I'm donating as a

Who are you?


Your contribution per km

Contribution x 1200 km
(Example: 0,10 € x 1300 km = 130 €)


Address

(for the tax-decuctible donation receipt)

Are you donating as a company?

Company logo

After the tour, every km-sponsor will receive a detailed statement (stating the kilometres driven x his or her target contribution per km). After receipt of the donation, the donator will be issued a tax-deductible confirmation of his or her donation.

Ich würde mich gerne über das Km-Sponsoring hinaus, weiter für die Kleine Hilfsaktion engagieren und Mitglied werden.

Einzel-/Familienmitgliedschaft
Firmenmitgliedschaft