Confirmation of Donation

Dear volunteer donors, thank you for your expression of solidarity. We would like to inform you that if you require a confirmation of your donation for tax or other purposes, please fill out the form below. This will enable us to send you the appropriate Confirmation of Donation.

Name/Company:

Birthdate/Tax ID:

Address:

E-mail:

Phone:

The purpose of the gift:

Purpose specification (if different):

Amount donated (CZK/EUR):

Payment identifier:

The date the payment was debited from the account: