Donation Form
Thank you so much for your interest in supporting local food systems and restoring vital ecosystems. Simply choose your donation amount, fill in your details and upload any documents (if applicable), and you will be redirected to complete your payment. Thank you!
Donation Amount (in USD)
*
Full Name
*
First Name
Last Name
Email Address
*
Phone Number
*
Please enter a valid phone number.
Format: +00 (000) 000-0000.
Type of Identification Document
*
Please Select
Passport
CC
CE
Otro
Number of Identification Document
*
Upload your Identification Document
*
Browse Files
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Choose a file
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of
Country
*
Tax ID (RUT or equivalent)
*
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of
Specific source of funds
*
Please Select
Salary or Professional Fees
Financial Investments or Dividends
Sale of Assets
Inheritance, Gift or Donation
Savings
Otro
Please check the checkbox that corresponds to the primary source of your funds.
Declaration of lawful origin of funds:
*
I certify that the resources, assets, or capital used in this transaction originate entirely from legitimate and lawful activities tied to my regular business, occupation, or stated sources.
I certify that these resources do not derive, directly or indirectly, from any illegal activity, money laundering, or terrorism financing.
I certify that I am acting on my own behalf (or as an authorized legal representative) and will not allow third parties to use my account or name to funnel funds of doubtful or criminal origin.
I authorize the verification of all information provided in this form with relevant regulatory authorities, financial institutions, or credit bureaus if required for compliance.
Checking this box constitutes my electronic signature. I acknowledge that I have read, understood, and accepted all the terms of this sworn declaration.
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