ChangemakerXchange Application Fee • Payment Form

Co-created by Ashoka and the Robert Bosch Stiftung, ChangemakerXchange is a global community for changemakers to connect, learn from each other, and develop cross-border collaborations.

This form allows for contributions by debit or credit card. You will receive an email confirmation once your payment has gone through. If you encounter any issues when processing the payment, please do not hesitate to reach out to us at info@changemakerxchange.com.

VOLUNTARY APPLICATION CONTRIBUTION

We kindly ask you to pay a US$15 / €13 non-refundable application fee to ChangemakerXchange to enable us to thoroughly review every single application and further grow the community. By asking for a modest application fee, we aim to ensure that those applying are truly committed to attending the summit and participating in the global community. To process your contribution, please pay using one of the options listed below.

PAYMENT DETAILS

Please note that your contribution of US$15 / €13 (or the equivalent in your local currency) will only be debited from your card once you have entered the card details and then submitted the application form. The payment is processed by Stripe.

TOTAL AMOUNT: €13 (or the equivalent in your local currency)

Name on card

Card number

Code

Your email for the receipt

Required System Fields

New Contact Owner ID

System Log

Site Language for resubscribe

Optional System Fields

New Contact CM Status

Existing Contact CM Status

Dotmailer Address Book SFDC ID

By submitting this form, you acknowledge that your Personal Data will be processed outside the EEA as described in the Privacy Policy.

Contact Information