Sponsorship form
First name
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Last name
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Street and house number
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Zip code
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City
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Country
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Afghanistan (افغانستان)
Albania (Shqipëria)
Algeria (الجزائر)
American Samoa
Andorra (Andorra)
Angola (Ngola)
Anguilla (Anguilla)
Antigua and Barbuda (Antigua and Barbuda)
Argentina (Argentina)
Armenia (Հայաստան)
Aruba (Aruba)
Australia (Australia)
Austria
Azerbaijan (Azerbaijan)
Bahrain (البحرين)
Bangladesh (বাংলাদেশ)
Barbados (Barbados)
Belarus (Беларусь)
Belgium (België / Belgique / Belgien)
Belize
Benin (Bénin)
Bermuda (Bermuda)
Bhutan (འབྲུག་ཡུལ)
Bolivia (Volívia)
Bosnia and Herzegovina (Босна и Херцеговина)
Botswana (Botswana)
Brazil (Brasil)
British Virgin Islands (British Virgin Islands)
Brunei (بروني)
Bulgaria (България)
Burkina Faso (Burkina Faso)
Burundi (Uburundi)
Cambodia (កម្ពុជា)
Cameroon
Canada (Canada)
Cape Verde (Cabo Verde)
Cayman Islands
Central African Republic (Bêafrîka)
Chad (تشاد)
Chile (Chile)
China (中国)
Christmas Island
Cocos Islands (Cocos Islands)
Colombia (Colombia)
Comoros (جزر القمر)
Cook Islands (Kūki Āirani)
Costa Rica (Costa Rica)
Croatia (Hrvatska)
Cuba (Cuba)
Curaçao (Kòrsou)
Cyprus (Kıbrıs)
Czech Republic (Česká republika)
Democratic Republic of the Congo (Republíki ya Kongó Demokratíki)
Denmark (Danmark)
Djibouti (جيبوتي)
Dominica (Dominica)
Dominican Republic (República Dominicana)
East Timor (Timor Lorosae)
Ecuador (Ecuador)
Egypt (مصر)
El Salvador (El Salvador)
Equatorial Guinea (Guiné Equatorial)
Eritrea (إرتريا)
Estonia (Eesti)
Eswatini (Swaziland) (eSwatini)
Ethiopia (ኢትዮጵያ)
Falkland Islands (Falkland Islands)
Faroe Islands (Færøerne)
Federated States of Micronesia (Federated States of Micronesia)
Fiji (फ़िजी)
Finland (Suomi)
France (France)
French Guiana (Guyane)
French Polynesia (Polynésie française)
Gabon (Gabonese Republic)
Georgia (საქართველო)
Germany
Ghana
Gibraltar (Gibraltar)
Greece (Ελλάδα)
Greenland (Kalaallit Nunaat)
Grenada (Grenada)
Guadeloupe (Guadeloupe)
Guam (Guåhån)
Guatemala (Guatemala)
Guernsey (Guernsey)
Guinea
Guinea-Bissau (Guiné-Bissau)
Guyana (Guyana)
Haiti (Ayiti)
Honduras (Honduras)
Hong Kong (香港)
Hungary (Magyarország)
Iceland (Ísland)
India (Bhārat Gaṇarājya)
Indonesia (Indonesia)
Iran (ایران)
Iraq (العراق)
Ireland (Éire)
Isle of Man (Ellan Vannin)
Israel (ישראל)
Italy
Ivory Coast (Côte d'Ivoire)
Jamaica (Jamaica)
Japan (日本)
Jersey (Jèrri)
Jordan (الأردن)
Kazakhstan (Казахстан)
Kenya (Kenya)
Kiribati (Kiribati)
Kosovo (Kosovo)
Kuwait (الكويت)
Kyrgyzstan (Кыргызстан)
Laos (ປະເທດລາວ)
Latvia (Latvija)
Lebanon (لبنان)
Lesotho (Lesotho)
Liberia (Liberia)
Libya (ليبيا)
Liechtenstein (Liechtenstein)
Lithuania (Lietuva)
Luxembourg (Lëtzebuerg)
Macau (澳門)
Madagascar (Madagasikara)
Malawi
Malaysia (Malaysia)
Maldives (ދިވެހިރާއްޖެ)
Mali (Le Mali)
Malta (mɐltɐ))
Marshall Islands (Aorōkin Ṃajeḷ)
Martinique (Martinique)
Mauritania (موريتانيا)
Mauritius (Moris)
Mayotte (Maore)
Mexico (México)
Moldova (Moldova)
Monaco (Múnegu)
Mongolia (mɒŋˈɡoʊliə)
Montenegro (Crna Gora)
Montserrat (Montserrat)
Morocco (المغرب)
Mozambique
Myanmar (မြန်မာ)
Namibia
Nauru (Naoero)
Nepal (नेपाल)
Netherlands (Nederland)
New Caledonia (Nouvelle-Calédonie)
New Zealand (Aotearoa)
Nicaragua (Nicaragua)
Niger (Niger)
Nigeria (Nàìjíríà)
Niue (Niuē)
Norfolk Island
North Korea (North Korea)
North Macedonia (Severna Makedonija)
Northern Mariana Islands (Notte Mariånas)
Norway
Oman (عُمان)
Pakistan (پاکستان)
Palau
Palestine (فلسطين)
Panama (Panamá)
Papua New Guinea
Paraguay (Paraguái)
Peru (Perú)
Philippines (Pilipinas)
Pitcairn Islands
Poland (Polska)
Portugal (Portugal)
Puerto Rico (Puerto Rico)
Qatar (قطر)
Republic of the Congo (Republic of Congo)
Reunion (La Réunion)
Romania (România)
Russia (Russian Federation)
Rwanda (Rwanda)
Sahrawi Arab Democratic Republic (الجمهورية العربية الصحراوية الديمقراطية)
Saint Barthélemy (Saint-Barthélemy)
Saint Helena, Ascension, and Tristan da Cunha (Saint Helena, Ascension, and Tristan da Cunha)
Saint Kitts and Nevis (Saint Kitts and Nevis)
Saint Lucia (Saint Lucia)
Saint Martin (Saint-Martin)
Saint Pierre and Miquelon (Saint-Pierre et Miquelon)
Saint Vincent and the Grenadines
Samoa (Sāmoa)
San Marino (San Marino)
Sao Tome and Principe (São Tomé e Príncipe)
Saudi Arabia (المملكة العربية السعودية)
Senegal
Serbia (Србија)
Seychelles (Sesel)
Sierra Leone (Sierra Leone)
Singapore (Republic of Singapore)
Sint Maarten (Sint Maarten)
Slovakia (Slovensko)
Slovenia (Slovenija)
Solomon Islands (Solomon Aelan)
Somalia (الصومال)
South Africa (iNingizimu Afrika)
South Korea (대한민국)
South Sudan (Paguot Thudän)
Spain (España)
Sri Lanka (ශ්රී ලංකාව)
Sudan (السودان)
Suriname (Suriname)
Svalbard (Svalbard)
Sweden (Sverige)
Switzerland
Syria (سورية)
Taiwan (Republic of China)
Tajikistan (Tajikistan)
Tanzania (Tanzania)
Thailand (Ratchana Jakratai)
The Bahamas (The Bahamas)
The Gambia (The Gambia)
Togo (Togo)
Tokelau (Tokelau)
Tonga (Tonga)
Trinidad and Tobago (Trinidad and Tobago)
Tunisia (تونس)
Turkey (Türkiye)
Turkmenistan
Turks and Caicos Islands (Turks and Caicos Islands)
Tuvalu (Tuvalu)
Uganda (Uganda)
Ukraine (Україна)
United Arab Emirates (الإمارات العربيّة المتّحدة)
United Kingdom (United Kingdom)
United States of America (United States of America)
United States Virgin Islands (United States Virgin Islands)
Uruguay (Uruguay)
Uzbekistan (Ўзбекистон)
Vanuatu (Vanuatu)
Vatican City (Città del Vaticano)
Venezuela (Venezuela)
Vietnam (Việt Nam)
Wallis and Futuna (Wallis and Futuna)
Yemen (اليمن)
Zambia (Zambia)
Zimbabwe (Zimbabwe)
Date of Birth
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Email
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Tel
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Type of sponsorship desired
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Nothing selected
Sponsor a Child
Sponsorship for a person with a disability
Project Sponsorship
Monthly / annual fee
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Occupation (optional)
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Privacy Policy: Your personal data will be stored solely for the purpose of administering the sponsorship program, will not be shared with third parties, and will be processed in accordance with the GDPR. You may withdraw your consent at any time.
Currency
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Euro
FCFA
dollar
pounds
Swiss franc
Payment frequency
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monthly
quarterly
every six months
annually
Payment method *
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bank transfer
PayPal
Note: By submitting this form, you agree to make the payments specified according to the selected schedule.
Letter of Commitment
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I hereby declare that I am taking on the above-mentioned sponsorship and will support the aid organization GRAND CŒUR financially and morally to the best of my ability. I confirm that the information I have provided is accurate.
Termination of Sponsorship: The sponsorship may be terminated in writing at any time with four weeks' notice, effective at the end of the month. Payments already made are non-refundable.
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