Filmtheater Zierikzee - Purchase membership card

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Sex

Man

Vrouw

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	SEPA Core Direct Debit
	You must pay the membership fee for the first year now. The mandate is used to renew your membership card on the due date.
IBAN	Enter IBAN to use for this mandate.
Account name	Name associated with bank account for this mandate.
	By signing this mandate form, you authorise Filmtheater Zierikzee to send instructions to your bank to debit your account and authorise your bank to debit your account in accordance with the instructions from Filmtheater Zierikzee. 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.

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