I herewith agree to a non-recurring donation of € ............ to be debited from my bank account.

Bank:  ............................................................................

IBAN:  ………………………………………………............

BIC:    ……………...........................................................

I  do / don't need a donation receipt.

First name:       .……………………………………………

Last name:        .……………………………………………

Street:                  ...…………………………………………..

ZIP, Location:  ........……………………………………….

 Date:  ……………     Signature:  ……………………....

Licht für Afrika e.V.,  Industriestr. 100,  69245 Bammental

Tel:           06223-47532                                 

Fax:          06223-48159                                    Volksbank Neckartal e.G.

Email:       hydro-power@t-online.de              IBAN: DE46 6729 1700 0018 2577 00

Internet:   www.lichtfuerafrika.de                   BIC: GENODE61NGD