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Member details
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The name of the holder of the bank account

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Eindhoven Raptors
Vijfkamplaan 29

SEPA ID: NL25ZZZ171330070000

CC number: 17133007

By signing this mandate form, you authorize Eindhoven Raptors to send recurrent collection instructions to your bank to debit your account for your the collection of your membership and other club activities and your bank to debit your account on a recurrent basis in accordance with the instructions from Eindhoven Raptors. The mandate reference will be sent to you after signing this form.

If you do not agree with the debit, you can arrange for its refund. Please contact your bank within eight weeks from the date on which your account was debited. Ask your bank for the conditions.

The signature of the form is required to finish the registration as a member. Sign below:

Younger than 16 years old? Ask a parent or a guardian to sign!