MzM motoristi za Motoriste

Obrazec za donacijo

Predlog za donacijo

Prejemnik donacije:

_______________________________________ _____________________________________

((ime, priimek)                                                                                         (naslov)

­­­­­­­­­­­­­_______________________________________  _____________________________________

(tel. št.)                                                                                                  (e-mail)

_______________________________________  ­­­­­­­­­­_____________________________________

(davčna številka)                                                                                    (št. osebnega računa)

Kratka obrazložitev (datum, kraj in opis dogodka - lahko tudi naslov spletne strani, ki opisuje dogodek):

Predlagatelj:

___________________________________________________

(ime, priimek, MK, tel., e-mail)

                                                                                                          Podpis predlagatelja:

                                                                                              _____________________________

V _______________, dne _____________ 20___