APPLY FOR THE DONATION PROGRAM

We offer you the opportunity to improve your life and daily life.
To apply for the donation program, please complete the form below and submit it. Upon receiving your request, we will contact you via the email address you provided or through WhatsApp at the indicated phone number.

APPLY


I have applied once without a response | Contact us

ATTENTION: Fields marked with the symbol (*) are mandatory.


FORM 1: YOUR IDENTITY

FORM 2: YOUR CONTACT INFORMATION

FORM 3: ABOUT THE DONATION


Please note: The data collected in this form is processed electronically and is intended for MB_FINANCE and the entity in charge of processing your request. In accordance with Law No. 78-17 of January 6, 1978, you have the right to access and rectify information concerning you.