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Fields marked with an asterisk (*) are mandatory.
Undersigned authorizes the VSPVU to credit a one-time MAXIMUM amount of EUR 48, from the below mentioned account number (3).
(1) Because of the legislation, the creditor (VSPVU) needs the IBAN number of the undersigned. On www.ibanbicservice.nl, a Dutch account number can be turned into an IBAN number.
(2) Not a mandatory field if you have a Dutch IBAN.
(3) The money will be charged from your bank account latest two weeks after the event took place.