Priyan Donation Form
If you would like to fill out a form and make a contribution to Priyan, you can use the link below to download the Priyan Donation form to complete and POST to the following address:
Priyan Foundation
P.O. Box 58385
1040 HJ Amsterdam
The Netherlands
If you plan to print this form, f.i. for use at meetings, please return them by post and not by email, as that is not safe.
Thank you for your support.
Click here to download our Donation form (English version for Amex)
Click here to download our Donation form (English version)
Click here to download our Donation form (French version)
Click here to download our Donation form (Spanish version)
Please correct the following errors
- Fout #1
Consent Agreement
P.O. Box 58385, 1040 HJ Amsterdam, The Netherlands
Phone: +31 20 330 20 30
Email: info@priyan.nl
In setting up a recurring contribution via PRIYAN’s website I authorise PRIYAN to make repeated monthly scheduled charges to my credit card ending for a recurring contribution amount of .
I understand my credit card data will be held securely by PRIYAN’s card processing service provider Bluesnap (see below regarding personal data).
Cancellation PolicyThis authority will remain in effect without change until:
- I inform Priyan of any change I would like to make;
- PRIYAN is notified by me in writing or by any other means to cancel it in which case I will receive confirmation that it has been cancelled within 3 working days.
If a charge is made to the card that falls outside of the terms of this agreement i.e. where cancellation was not made on time, the payment will be refunded as soon as possible but in any event within 5 working days. Full refund policy can be found on Priyan's website under Donations on the homepage.
Declined PaymentsIf my payment is declined I will be informed so that I can take action to reinstate my contribution should I wish to.
In accordance with the current guidelines relating to security of personal information, your personal information will be kept confidential and incorporated into a database owned by Priyan. The Foundation processes personal data in order to deal with your contributions and to provide you with information about the activities of the Foundation. You may exercise your right to access, correct, oppose or cancel this information by mailing your request to: Stichting Priyan, P.O. Box 58385, 1040 HJ Amsterdam, The Netherlands. Full details of PRIYAN’s Privacy Policy may be found at www.priyan.nl: Privacy Policy.
Registered no Chamber of Commerce in Amsterdam: 34246683