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Sign here for a the automatic payment

Undersigned hereby agrees to an annual direct debit of the contribution of 10 euro and the potential made coffee/tea costs by faculty association Gyrinus natans.
If the amount of contribution will change on the GeneralMembersMeeting, this will be announced by e-mail.
Cancellation of the membership can be done by an e-mail to the board and has to be done before the 1st of October of the new academic year.
The membership will be automatically extended when it is not cancelled.

¹SEPA, Incassant ID: NL18ZZZ343280170000. Refund period is 56 days, kind authorisation: continuous autorisation.
²Aforementioned bank account will be used for the direct debit of the annual contribution and the potentially made coffee/tea costs.
If you pay this yourself you should fill in your own data, if anyone else pays this you should fill in their data.

I hereby agree with the automatic payment. *

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