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Reference for authorization

By signing this form, you give permission to T.S.V.V. Gepidae to send continuous direct debit instructions to your bank to withdraw an amount from your account for membership fees and activities, and your bank to continuously withdraw an amount from your account in accordance with the instructions of T.S.V.V. Gepidae.
If you disagree with this debit, you can have it reversed. Please contact your bank within eight weeks of the debit. Ask your bank about the conditions.

Thank you for your submission!

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