Hurmet Foundation
Stepekolk-Oost 18 06-28060040 KVK: 17140068
5706LA Helmond www.hurmet.nl Account number:
the Netherlands info@hurmet.nl 38.39.50.015

Donation Form

name@example.com

All fields except for the phone number are required

By filling out this form you authorize the Hurmet Foundation
(until written notice of termination) to debit the amount above from your account

N.B.: If I do not agree with this collection, I have the right to reclaim the amount within 30
after depreciation without giving up any reasons for the reclaim to my bank.