Make a donation One-off donations Companies donations 1. What interval do you prefer? Monthly Quarterly Annual 2. How much do you want to donate? 10€ 20€ Other amount € How much do you want to donate? 30€ 50€ Other amount € How much do you want to donate? 120€ 200€ Other amount € 3.Personal information Name Surtname Identity card Email Phone Address Postal code Town Region Country - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Are you or have you been a patient of the Institut Guttmann? - Select -YesNo 4.Payment method Holder Bank IBAN Entity Office DC Account number Ruego al Institut Guttmann que a partir de la fecha y hasta nuevo aviso por mi parte, carguen a mi cuenta el recibo que el Institut Guttmann emitirá periódicamente. Al aceptar este formulario, está de acuerdo con nuestras normas de uso conforme sus datos serán incorporados a nuestra base de datos. La información personal recogida por los usuarios registrados es almacenada en la base de datos propiedad del Institut Guttmann que asume las medidas de índole técnica, organizativa y de seguridad que garanticen la confidencialidad e integridad de la información de acuerdo a lo establecido en la Ley Orgánica 15/1999 del 13 de diciembre, de Protección de Datos de Carácter Personal, y en el resto de la legislación aplicable. Cualquier usuario puede en cualquier momento ejercer el derecho a acceder, rectificar y, en su caso, cancelar sus datos de carácter personal subministrados al Institut Guttmann, mediante comunicación dirigida al Institut Guttmann: Camí de Can Ruti, s/n 08916 Badalona, referencia “tratamiento de datos”. protecciodades@guttmann.com If you need a donation certificate, write to us at amics@guttmann.com If you want to make a bank transfer, our account number is:IBAN ES21 2100 0555 37 0200900995 5.I want to enjoy AXA insurance An individual annual fee of € 120 entitles you to an accident insurance policy, contracted with AXA, for a person designated by the Friend of the Institut Guttmann. Every € 60 more that is contributed to the quota entitles another person to insure. The insurance covers people who are between the ages of 2 and 70, and do not suffer a spinal cord injury, head injury or illness of any kind. According to the conditions of the group policy contracted with AXA, Friends who make annual or periodic contributions in installments every six months benefit from company insurance in the event of accidentally contracting a spinal cord injury or a head injury. Likewise, the validity of the insurance is one year and is maintained by renewing the payment of the Amigo annual fee. The AXA Foundation is a friendly company that supports this initiative. Insured Insured Name Surname Indentity card Birthdate Add If you make a donation of € 120 per year. In the income statement you can deduct 75% of this amount (which is equivalent to € 90) and an additional 25% also of this amount (which is equivalent to € 30). ANNUAL DONATION MADE = € 120, REAL COST TO YOU = € 0. If you make a donation of € 300 a year. In the income statement you can deduct 75% of the first € 150 (which is equivalent to € 112.50), 30% of the remaining € 150 (which is equivalent to € 45) and an additional 25% also of the total amount of the donation (equivalent to € 75). In total, in the income statement you can deduct € 232.5 ANNUAL DONATION MADE = € 300, REAL COST FOR YOU = € 67.5. I have read and accept the legal notice. I authorize the use of my data for the requested purpose. The data will be kept in the Institut Guttmann Foundation system indefinitely. At any time I can make use of my rights of access, rectification, deletion, portability, limitation and opposition, as indicated in the Data Protection Policy* I authorize the use of my data for the requested purpose. The data will be kept in the system of the Fundación Institut Guttmann indefinitely. At all times I will be able to use my rights of access, rectification, deletion, portability, limitation and opposition, as indicated in the Protection Data Policy. I want to receive information about the activities of the Institut Guttmann Foundation. My data will be kept in the Institut Guttmann Foundation system indefinitely. At any time I can make use of my rights of access, rectification, deletion, portability, limitation and opposition, as indicated in the Legal notice. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Make donation now Do you know that when you donate €150, you deduct €120? Know the tax advantages