Donation form - Check (France only)

Kindly fill in the following form before proceeding to the payment of your donation. Microsfere will not sell, rent or transfer your personal data to third parties.

Please send bank checks to the following address:
Microsfere
BP 16
69579 Limonest Cedex

Please makes checks payable to Microsfere

                        * mandatory fields
*
*
*
*
*