Missions – declaration form Name: Last name: E-mail: Address: City: Zip/Postal code: Country: Supporters can choose to give one -time donation or select a monthly donation: one – time donation Monthly donation – 3 months Monthly donation – 6 months Monthly donation – 9 months Monthly donation – 12 months Declared donation: 20 USD / a month 40 USD / a month 50 USD / a month 100 USD / a month