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Mr / Mrs:
Mr
Mrs
Surname:
Initials:
Street and house number:
Postal code:
(without spaces
)
Town or city:
Telephone:
E-mail:
Date:
Yes, I want to support the children of Nicaragua!
Please specify the type of donation
Until further notice, I authorize MPP to automatically withdraw each month the following amount:
Until further notice, I authorize MPP to automatically withdraw each year the following amount:
I authorize MPP to automatically withdraw a one time donation of:
Donation amount:
Bank account number:
Within minutes, you will receive an email from Mpowering People confirming receipt of your donation form.
To cancel your bank order at any time send an email to mpoweringpeople@gmail.com.
On behalf of the street children of Nicaragua, please accept our sincere thanks for your gift-donations.
Mpowering People
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Give the children of Nicaragua a future!
>>Making a gift is quick and easy with our online form!
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