academ. title / first name / last name *:

Position in the company / organisation:

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My Email address *:

company / organisation website:

Yes, I / we will support AFOS Foundation for Entrepreneurial Development Cooperation in Cologne by

yearly donations of € per year, payable

quarterlysix-monthlyyearly beginning in year 20 and ending in 20
a single donation of € , payable within the next four weeks

My / our donation to AFOS Foundation is

not intended for a specific purposeintended for a specific purpose, namely for

I / we request a donation receipt:

yes, pleaseno, thank you

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