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Individual Supporting Membership
Online Donation Form
Individual Supporting Membership
The Clean Air Action Group is greatly honoured that you would like to become its Supporting Member.
Name:
*
Address:
*
E-mail:
*
Phone:
Date of birth:
Profession:
Type of support:
*
Yearly membership paid in one sum: minimum 11,000 HUF
Yearly membership paid monthly: 1,000 HUF/month
Yearly total::
*
Method of payment:
I transfer the sum to the bank account number of Clean Air Action Group (10700347-49865305-51100005)
Other information:
I would like to receive the monthly electronic newsletter „Lélegzetnyi”.
I would like to receive the monthly electronic newsletter „Vegyi anyag”.
I would like to help your work as a volunteer.
I would like to appear as a Supporting Member on CAAG’s website and Annual Report.
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