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Amount (€)
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Expiry date
Month
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Expiry year
Year
2024
2025
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2033
2034
2035
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2037
2038
The donation is made as:
Please select
Private person
Institution / Organization
Institution / Organization
Contact Person
Salutation
Mr.
Mrs.
Title
Title
Dr.
Dr. med.
Dr. med. dent.
Dr. pharm.
Dr. rer. hum.
Prof.
Prof. Dr.
First Name
Last Name
Street
House number
ZIP
City
E-mail address
Tick here if you would like to receive an acknowledgement of your donation.
If your donation is 50 EUR or more, you will receive a receipt acknowledging your contribution by post, provided that you have stated your full postal address. In the case of donations of up to 300 EUR the basic donation receipt will serve as a tax declaration in conjunction with your bank statement. Please download the basic donation receipt
here
.
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