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Personal Details
First Name
Infix
Last Name (required)
Contact Details
Contact Email (required)
Payment Details
Payment Type
Automatische incasso
IBAN (required)
I am the bank account holder or custodian.
By signing this mandate form, you authorise (A) ClubCollect to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from ClubCollect. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.
Other Details
Type of Membership (Subscription/Plan) (required)
(select)
Option A - € 8,00 (€ 0,00 now)
Option B - € 10,00 (€ 0,00 now)
Option C - € 12,00 (€ 0,00 now)
Option D - € 20,00 (€ 0,00 now)
Group members
I agree with the general conditions
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