Bank account details form

To refund donations sent by wire transfer, we need to send a wire transfer back to your bank account. Please use the form below to enter your full bank details.
You can also send all the required information by email to copy this e-mail address into your e-mail program or send an e-mail to request to be called back.

Note: donations done via credit card with PayPal will be refunded automatically.

Your Name (*)
Your Email Address (*)
Your telephone
Date you made the donation transfer (*)
Transfer reference number (ex: 01021098562) (*)
Amount and currency (€,£,$...) (*)
Your account: holder name (*)
Your account: bank name (*)
Your account: SWIFT/BIC
Your account: IBAN (or French RIB) (*)
Comments
(*) Required