SRI DONATION FORM

(mandatory fields are marked*)

Name*
Family Name*
A valid E-Mail*
Address*
City*
State/Province*
Country*
Zip Code*
Telephone
Fax
Organization
Position
Check the position*
 

POSITION

FEE AMOUNT

I want to donate this sum to help the works of the Space Renaissance International

Check the payment method*

 

PAYMENT METHOD

Credit Card - PayPal (on the TDF/SRI PayPal account)(*

   

NOTES: The Space Renaissance International account is hosted by Technologies of the Frontier (Tecnologie di Frontiera).

Your personal data will never  be given to any other entity, they will be maintained only in the registry of the sponsors of the Space Renaissance Initiative. 

By clicking the SUBMIT button, You give your consent to treat your personal data as per the privacy italian law (L.675/96).  

(*) The transfer is made on the Space Renaissance' account. You don't need to open your own PayPal account.
[rel. 2 July 18th 2012]