Yes, I would like to donate to Aga Op 't Hof

for the campaign Anna tegen SMA

1How much do you want to give Aga Op 't Hof?

€ 10

€ 25

€ 50

€ 100

Other amount

2How do you want to pay?

iDeal

Credit card

PayPal

Debit card

Online bank transfer

3Total donation amount

Choose an amount that you are going to donate first.

4Let us know who you are

I'd rather donate anonymously

Email address

I want to donate as a company

Company name

Salutation

First name

Last name prefix

Last name

Street

Street number

Postal code

Town

Country

Aga Op 't Hof may contact me regarding this donation

I'd like to subscribe to the monthly Geef.nl newsletter

5Leave a message

optional

I accept the donation terms and privacy statement.

Oops!

You can't continue yet, because:

Please check your input and try again.

You're being redirected to the payment page