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ELEPAP
Rehabilitation for The Disabled

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DONATION IN MEMORY

DONATION IN MEMORY    

MAKE A DONATION IN THE MEMORY OF A BELOVED PERSON

1. Choose donation amount
Donation Amount 150 €100 € 50 € 20 € 10 €
  Other Amount
   
2. Fill your data
First name*
Last name*
Phone
Email*
Address
City
Zip
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In memory of
* Required Fields
If you need receipt for your donation, please fill all the fields above.
 
3. Payment Methods
Please select one of the following payment method for Subscription of Devotion  
Through PayPal Through Credit Card
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  In case you want to make a payment through Bank, click here.

WE THANK OUR GREAT BENEFACTORS
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