HOW TO HELP WITH ECONOMIC CONTRIBUTIONS

The Inclinica Foundation for Clinical-pneumological and Carcinogenic Research, a non-profit making entity, is constituted under the provisions of Law 50/2002, of 26 December, of Foundations. The fiscal benefits derived from contributions to the Foundation are regulated by Law 49/2002, of 23 December, of the Fiscal Regime of non-profit making entities and of the financial incentives for patronage.

Below we show the content of the declaration of interest form, and of the standing order document for payments to the Inclinica Foundation, which may be found in the Download section in pdf format to print and fill in for presentation.

DECLARATION OF INTEREST FORM

Mr/Ms (title) ...............................................................................................,
Passport Nº ................................, address ....................................................
..............................................................................................................,
Post Code ............................., contact telephone Nº .........................................

I AM INTERESTED IN MAKING AN ECONOMIC CONTRIBUTION TO THE INCLINICA FOUNDATION.

To this end, I request you to contact me in order to formalise the terms of this contribution.

Town/city ..........................................................., Date ...............................

(signature)

Note: Send to FUNDACIÓN INCLINICA, Calle Calvo Sotelo 16, 3º Dcha., 33007 Oviedo, Spain.

HOW TO MAKE PAYMENTS BANKING IN FAVOR OF FUNDACIÓN INCLÍNICA

Destiny of the Order:

Bank/Savings bank ...........................................................................................
Office ........................................... Street ......................................................
City ................................................ Postal code .............................................

Account number:

BANK ...........................................................................
BRANCH .......................................................................
CD ..............................................................................
ACCOUNT NUMBER ..........................................................

Holder:

Name ...........................................................................................................
Fiscal number of identification ..............................................................................
Street .................................................................................... Number ...........
City ................................................................. Postal code ............................
Telephone number ...............................................

Request above takes care of against the indicated account the position than it turns FUNDACIÓN INCLÍNICA PARA LA INVESTIGACIÓN CLÍNICA-NEUMOLÓGICA Y CARCINOGÉNICA in the following terms:

Amount: ............................ (...........................................................................) Euros
With regularity: .......................................................... (monthly, quarterly, semester, annual)

Sincerely,

(company/signature)

Note: Send to FUNDACIÓN INCLINICA, Calle Calvo Sotelo 16, 3º Dcha., 33007 Oviedo, Spain.