One-time donation Monthly Each quarter Annually Name Company name Email address Message Currency*AEDAUDBGNCADCHFCZKDKKEUR (€)GBP (£)HKDHRKHUFILSISKJPY (¥)NOKNZDPHPPLNRONRUBSEKSGDUSD (US$)ZARAmount () *Enter your own amount5,0010,0025,0050,00 iDEAL Credit card PayPal Bancontact KBC/CBC Payment Button I hereby authorize FAST (First Aid Support Team) to collect the amount shown above from my account periodically. IBAN: NL50BUNQ2208568400BIC/SWIFT: BUNQNL2A
