womenswallet.nl
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URL:
https://womenswallet.nl/en/donate
Submission: On December 08 via manual — Scanned from NL
Submission: On December 08 via manual — Scanned from NL
Form analysis
2 forms found in the DOMGET /en/search
<form class="navbar-search pull-right" method="get" action="/en/search">
<input type="text" class="search-query" placeholder="Search" name="qs">
</form>
POST #pb-installed
<form id="donate-payment-form" class="form-horizontal" method="post" action="#pb-installed">
<fieldset>
<legend>I want to support with a donation of</legend>
<div class="control-group form-group">
<label class="control-label" for="payment-amount"></label>
<div class="controls">
<input type="text" class="span1" id="payment-amount" name="amount" value="">
<input type="hidden" name="currency" value="EUR">
<span>Euro</span>
</div>
</div>
</fieldset>
<fieldset>
<legend>Your name and address</legend>
<div class="control-group form-group">
<label class="control-label" for="payment-firstname">First name</label>
<div class="controls">
<input type="text" class="input-xlarge" id="payment-firstname" name="name_first">
</div>
</div>
<div class="control-group form-group">
<label class="control-label" for="payment-lastname">Last name</label>
<div class="controls">
<input type="text" class="input-xlarge" id="payment-lastname" name="name_surname">
</div>
</div>
<div class="control-group form-group">
<label class="control-label" for="payment-address">Billing address</label>
<div class="controls">
<input type="text" class="input-xlarge" id="payment-address" name="address_street_1">
</div>
</div>
<div class="control-group form-group">
<label class="control-label" for="payment-city">City</label>
<div class="controls">
<input type="text" class="input-xlarge" id="payment-city" name="address_city">
</div>
</div>
<div class="control-group form-group">
<label class="control-label" for="payment-postcode">Zip code</label>
<div class="controls">
<input type="text" class="input-xlarge span2" id="payment-postcode" name="address_postcode">
</div>
</div>
<div class="control-group form-group">
<label class="control-label" for="payment-country">Country</label>
<div class="controls">
<select id="payment-country" name="address_country">
<option></option>
<option value="af">Afghanistan</option>
<option value="al">Albania</option>
<option value="dz">Algeria</option>
<option value="as">American Samoa</option>
<option value="ad">Andorra</option>
<option value="ao">Angola</option>
<option value="ai">Anguilla</option>
<option value="aq">Antarctica</option>
<option value="ag">Antigua and Barbuda</option>
<option value="ar">Argentina</option>
<option value="am">Armenia</option>
<option value="aw">Aruba</option>
<option value="au">Australia</option>
<option value="at">Austria</option>
<option value="az">Azerbaijan</option>
<option value="bs">Bahamas</option>
<option value="bh">Bahrain</option>
<option value="bd">Bangladesh</option>
<option value="bb">Barbados</option>
<option value="by">Belarus</option>
<option value="be">Belgium</option>
<option value="bz">Belize</option>
<option value="bj">Benin</option>
<option value="bm">Bermuda</option>
<option value="bt">Bhutan</option>
<option value="bo">Bolivia</option>
<option value="bq">Bonaire, Sint Eustatius and Saba</option>
<option value="ba">Bosnia-Herzegovina</option>
<option value="bw">Botswana</option>
<option value="bv">Bouvet Island</option>
<option value="br">Brazil</option>
<option value="io">British Indian Ocean Territory</option>
<option value="bn">Brunei Darussalam</option>
<option value="bg">Bulgaria</option>
<option value="bf">Burkina Faso</option>
<option value="bi">Burundi</option>
<option value="kh">Cambodia</option>
<option value="cm">Cameroon</option>
<option value="ca">Canada</option>
<option value="cv">Cape Verde</option>
<option value="ky">Cayman Islands</option>
<option value="cf">Central African Republic</option>
<option value="td">Chad</option>
<option value="cl">Chile</option>
<option value="cn">China</option>
<option value="cx">Christmas Island</option>
<option value="cc">Cocos (Keeling) Islands</option>
<option value="co">Colombia</option>
<option value="km">Comoros</option>
<option value="cg">Congo</option>
<option value="cd">Congo, The Democratic Republic of the</option>
<option value="ck">Cook Islands</option>
<option value="cr">Costa Rica</option>
<option value="hr">Croatia</option>
<option value="cu">Cuba</option>
<option value="cw">Curaçao</option>
<option value="cy">Cyprus</option>
<option value="cz">Czech Republic</option>
<option value="dk">Denmark</option>
<option value="dj">Djibouti</option>
<option value="dm">Dominica</option>
<option value="do">Dominican Republic</option>
<option value="tp">East Timor</option>
<option value="ec">Ecuador</option>
<option value="eg">Egypt</option>
<option value="sv">El Salvador</option>
<option value="gq">Equatorial Guinea</option>
<option value="er">Eritrea</option>
<option value="ee">Estonia</option>
<option value="et">Ethiopia</option>
<option value="fk">Falkland Islands</option>
<option value="fo">Faroe Islands</option>
<option value="fj">Fiji</option>
<option value="fi">Finland</option>
<option value="fr">France</option>
<option value="gf">French Guiana</option>
<option value="pf">French Polynesia</option>
<option value="tf">French Southern Territories</option>
<option value="ga">Gabon</option>
<option value="gm">Gambia</option>
<option value="ge">Georgia</option>
<option value="de">Germany</option>
<option value="gh">Ghana</option>
<option value="gi">Gibraltar</option>
<option value="gr">Greece</option>
<option value="gl">Greenland</option>
<option value="gd">Grenada</option>
<option value="gp">Guadeloupe</option>
<option value="gu">Guam</option>
<option value="gt">Guatemala</option>
<option value="gg">Guernsey</option>
<option value="gn">Guinea</option>
<option value="gw">Guinea Bissau</option>
<option value="gy">Guyana</option>
<option value="ht">Haiti</option>
<option value="hm">Heard and McDonald Islands</option>
<option value="va">Holy See (Vatican City State)</option>
<option value="hn">Honduras</option>
<option value="hk">Hong Kong</option>
<option value="hu">Hungary</option>
<option value="is">Iceland</option>
<option value="in">India</option>
<option value="id">Indonesia</option>
<option value="ir">Iran</option>
<option value="iq">Iraq</option>
<option value="ie">Ireland</option>
<option value="im">Isle of Man</option>
<option value="il">Israel</option>
<option value="it">Italy</option>
<option value="ci">Ivory Coast (Cote D'Ivoire)</option>
<option value="jm">Jamaica</option>
<option value="jp">Japan</option>
<option value="je">Jersey</option>
<option value="jo">Jordan</option>
<option value="kz">Kazakhstan</option>
<option value="ke">Kenya</option>
<option value="ki">Kiribati</option>
<option value="xk">Kosovo</option>
<option value="kw">Kuwait</option>
<option value="kg">Kyrgyzstan</option>
<option value="la">Laos</option>
<option value="lv">Latvia</option>
<option value="lb">Lebanon</option>
<option value="ls">Lesotho</option>
<option value="lr">Liberia</option>
<option value="ly">Libya</option>
<option value="li">Liechtenstein</option>
<option value="lt">Lithuania</option>
<option value="lu">Luxembourg</option>
<option value="mo">Macao</option>
<option value="mk">Macedonia</option>
<option value="mg">Madagascar</option>
<option value="mw">Malawi</option>
<option value="my">Malaysia</option>
<option value="mv">Maldives</option>
<option value="ml">Mali</option>
<option value="mt">Malta</option>
<option value="mh">Marshall Islands</option>
<option value="mq">Martinique</option>
<option value="mr">Mauritania</option>
<option value="mu">Mauritius</option>
<option value="yt">Mayotte</option>
<option value="mx">Mexico</option>
<option value="fm">Micronesia</option>
<option value="md">Moldova</option>
<option value="mc">Monaco</option>
<option value="mn">Mongolia</option>
<option value="me">Montenegro</option>
<option value="ms">Montserrat</option>
<option value="ma">Morocco</option>
<option value="mz">Mozambique</option>
<option value="mm">Myanmar</option>
<option value="na">Namibia</option>
<option value="nr">Nauru</option>
<option value="np">Nepal</option>
<option value="nl">Netherlands</option>
<option value="nc">New Caledonia</option>
<option value="nz">New Zealand</option>
<option value="ni">Nicaragua</option>
<option value="ne">Niger</option>
<option value="ng">Nigeria</option>
<option value="nu">Niue</option>
<option value="nf">Norfolk Island</option>
<option value="kp">North Korea</option>
<option value="mp">Northern Mariana Islands</option>
<option value="no">Norway</option>
<option value="om">Oman</option>
<option value="pk">Pakistan</option>
<option value="pw">Palau</option>
<option value="ps">Palestinian Territory, Occupied</option>
<option value="pa">Panama</option>
<option value="pg">Papua New Guinea</option>
<option value="py">Paraguay</option>
<option value="pe">Peru</option>
<option value="ph">Philippines</option>
<option value="pn">Pitcairn Island</option>
<option value="pl">Poland</option>
<option value="pt">Portugal</option>
<option value="pr">Puerto Rico</option>
<option value="qa">Qatar</option>
<option value="re">Reunion</option>
<option value="ro">Romania</option>
<option value="ru">Russian Federation</option>
<option value="rw">Rwanda</option>
<option value="bl">Saint Barthélemy</option>
<option value="sh">Saint Helena</option>
<option value="kn">Saint Kitts and Nevis Anguilla</option>
<option value="lc">Saint Lucia</option>
<option value="mf">Saint Martin (French)</option>
<option value="pm">Saint Pierre and Miquelon</option>
<option value="vc">Saint Vincent and Grenadines</option>
<option value="ws">Samoa</option>
<option value="sm">San Marino</option>
<option value="st">Sao Tome and Principe</option>
<option value="sa">Saudi Arabia</option>
<option value="sn">Senegal</option>
<option value="rs">Serbia</option>
<option value="sc">Seychelles</option>
<option value="sl">Sierra Leone</option>
<option value="sg">Singapore</option>
<option value="sx">Sint Maarten (Dutch)</option>
<option value="sk">Slovakia</option>
<option value="si">Slovenia</option>
<option value="sb">Solomon Islands</option>
<option value="so">Somalia</option>
<option value="za">South Africa</option>
<option value="gs">South Georgia and the South Sandwich Islands</option>
<option value="kr">South Korea</option>
<option value="ss">South Sudan</option>
<option value="es">Spain</option>
<option value="lk">Sri Lanka</option>
<option value="sd">Sudan</option>
<option value="sr">Suriname</option>
<option value="sj">Svalbard and Jan Mayen Islands</option>
<option value="sz">Swaziland</option>
<option value="se">Sweden</option>
<option value="ch">Switzerland</option>
<option value="sy">Syria</option>
<option value="tw">Taiwan</option>
<option value="tj">Tajikistan</option>
<option value="tz">Tanzania</option>
<option value="th">Thailand</option>
<option value="tg">Togo</option>
<option value="tk">Tokelau</option>
<option value="to">Tonga</option>
<option value="tt">Trinidad and Tobago</option>
<option value="tn">Tunisia</option>
<option value="tr">Turkey</option>
<option value="tm">Turkmenistan</option>
<option value="tc">Turks and Caicos Islands</option>
<option value="tv">Tuvalu</option>
<option value="ug">Uganda</option>
<option value="ua">Ukraine</option>
<option value="ae">United Arab Emirates</option>
<option value="gb">United Kingdom</option>
<option value="us">United States</option>
<option value="um">United States Minor Outlying Islands</option>
<option value="uy">Uruguay</option>
<option value="uz">Uzbekistan</option>
<option value="vu">Vanuatu</option>
<option value="ve">Venezuela</option>
<option value="vn">Vietnam</option>
<option value="vg">Virgin Islands (British)</option>
<option value="vi">Virgin Islands (USA)</option>
<option value="wf">Wallis and Futuna Islands</option>
<option value="eh">Western Sahara</option>
<option value="ye">Yemen</option>
<option value="zm">Zambia</option>
<option value="zw">Zimbabwe</option>
<option value="ax">Åland Islands</option>
</select>
</div>
</div>
<div class="control-group form-group">
<label class="control-label" for="payment-email">E-mail</label>
<div class="controls">
<input type="text" class="input-xlarge" id="payment-email" name="email">
</div>
</div>
</fieldset>
<fieldset>
<legend>Notes</legend>
<div class="control-group form-group">
<label class="control-label" for="payment-description">Notes</label>
<div class="controls">
<input type="text" class="input-xlarge span2" id="payment-description" name="description" value="">
</div>
</div>
</fieldset>
<div class="control-group form-group z_invalid">
<label class="control-label"> </label>
<div class="controls">
<div class="text-danger"> Please fill in all the required fields. </div>
</div>
</div>
<div class="form-actions">
<button type="submit" class="btn btn-lg btn-primary">Donate</button>
</div>
</form>
Text Content
Women’s Wallet * General information * Organization * Reports * Contact * Make a donation MAKE A DONATION Share Women’s Wallet is a non-profit organization. It manages a fund for women-friendly projects. * Credit Card * Bank Transfer Bank I want to support with a donation of Euro Your name and address First name Last name Billing address City Zip code Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea Bissau Guyana Haiti Heard and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast (Cote D'Ivoire) Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Anguilla Saint Lucia Saint Martin (French) Saint Pierre and Miquelon Saint Vincent and Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (British) Virgin Islands (USA) Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe Åland Islands E-mail Notes Notes Please fill in all the required fields. Donate DONATION CAN BE DIRECTED TO: IBAN: NL50 TRIO 0391 1021 68 BIC / SWIFT: TRIONL2U NAME OF THE RECEIVER: Women's Wallet ADDRESS OF THE RECEIVER: Postbus 15798, 1001NG, Amsterdam, Netherlands NAME OF THE BANK OF THE RECEIVER: TRIODOS BANK (If you completed an online consultation and you received a reference number, please mention it as bank transfer title) -------------------------------------------------------------------------------- This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. Mobile or desktop * Desktop * Tablet * Phone * Text * Automatic