DONATION FORM

 

I wish to donate TL/USD. to Clean Energy Foundation.

 

Name Surname :

Address :

Date : -- (day-month-year)

                                                                                               Signature

 

Check is attached.

 

Sent to Vakýfbank Merkez Þb./Ank-TURKEY.  Account number : 2036884 (Temiz Enerji Vakfý account).

    -- (day-month-year).

 

Credit card payment

 

                                    Visa       Mastercard  American Express

 

Credit card No. :

Expire date : - (month-year)

Name and Surname of card holder :


After filling this form print it trough printer and sign and send to Clean Energy Foundation Address.

Clean Energy Foundation (Temiz Enerji Vakfý),

Atatürk Bulvarý 221 Kavaklýdere 06100 - Ankara