Form

Amount

€ *

Personal data

Name *

Email *

Prefix

Mobile

Address

Do you want invoice?

Yes

No

I authorize data processing and storage by easypay, Instituição de Pagamentos. According to the current legislation, I'm allowed to delete and rectify this data, in that case I should address personally or by writting to easypay. I also authorize that this data to be transfered to GAT-Grupo Portugues de Activistas sobre Tratamentos de VIH/SIDA - Pedro Santos .