Fundacion Cruzada Patagonica
Quiero donar
                   
First name:    Last name: 
Sex:  Date of birth:  Occupation: 
Complete address:    City or Town: 
Zip code:    Country: 
Personal telephone number: 
Country Code
Area Code
Phone Number		   Alternate telephone number: 
Country Code
Area Code
Phone Number		  
Email address:   
I found out about Cruzada Patagonica through: 
 

I AUTHORIZE A DEBIT OF 
 

Monthly (only by credit card)
Annually
One-Time
10 (0,33 a day)
120 (0,33 a day)
120
25 (0,82 a day)
300 (0,82 a day)
300
50 (1,64 a day)
600 (1,64 a day)
600
Another amount
Another amount
Another amount

Credit Card 
For security reasons we do not ask for your credit card number through this system.
By completing this form you are a just a step away from becoming a new member. We'll contact you to arrange for payment.

Bank Deposit / Transfer*

Bank of América
Account number: 002086685468
ABA number: 051000017
Name: Fundación Cruzada Patagónica;
CUIT: 30-58650783-0
Address of the Bank: PO BOX 25118,
TAMPA, FL 336225118, EE.UU


(*)Once you have instructed your bank to transfer the funds, please inform us, indicating date and amount of the deposit,
by e-mail to leticiapirard@cruzadapatagonica.org,
or calling at +54-11-4790-9366 so that the Foundation may conduct the corresponding follow-up procedures.


Comments and/or questions regarding my donation
 


 


 
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