ClubCollect

FIRST. Maastricht

Personal Details

First Name (required)

Infix

Last Name (required)

Gender (required)

Male

Female

Rather not say

Date of Birth

Studentnumber

Only the numbers of your studentnumber

Contact Details

Contact Email (required)

Phone 1

Country Code (required)

Phone Number

Address line 1 (required)

House No.

Extension

Address line 2

Postcode (required)

City (required)

Country

Payment Details

Payment Type

Automatische incasso internationals

Our SEPA Direct Debit system only detects EU-IBAN accounts. If you don't have an EU-IBAN account, then you have to take a screenshot from the whole form or type the all the information in the email and send it to secretaris@firstmaastricht.nl

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)

Master (required)

Additional Info

I give permission to use image material in which I may appear for promotional purposes, including on social media, for printed matter and the website.