• family sponsorship information
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• Families
• Sponsorship Application

Sponsorship Application

Dear friends and supporters of our work,

We would like to deeply thank you for your trust and assistance. Your donation will be responsibly used for people in need in the most efficient way possible. Through your continuous support in the form of a sponsorship, you are giving deserving families a life-long gift by enabling them to build a better life.

Sincerely,
your humedica team

Yes, I would like to sponsor a family

Recipient -- Select Recipient -- Private Business School Organization

Salutation -- Select Salutation -- Mr. Ms. Family

Last Name 

First Name 

Telephone

E-Mail 

Street address 

Zip Code  City 

Friend Number (if known)

Country  -- Select Country -- Sri Lanka Brazil Ethiopia Haiti Either country is fine

Desired number of
family members: 

Requested Family:

I don't mind sharing the sponsorship of a family with other sponsors.

Account No. 

Routing Number 

Financial Institute 

Account Holder (if different than above)

I give humedica e.V. the right to transfer Euro a month from my account (10 Euro per family member). 

Comments

Date/City 

Signature 

(This standing order is non-binding and I can cancel it without cause at any time.)