ClubCollect

Organisation Name

First Name (required)

Last Name (required)

Nationality

Contact Email (required)

Address line 1 (required)

House No. *

Address line 2

Postcode (required)

City (required)

Country

Payment Type

SEPA

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.

Type of Membership (Subscription/Plan) (required)

Billing is annual at the start of the calendar year. Mid-year sign-ups are prorated for the remaining months

Additional Info