Lid worden

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.

Op dit formulier is een beveiliging actief. Los de som op om verder te gaan, en gebruik cijfers in het antwoord.