Angel investor information
Arts Capital is a registered NPC 2016/296741/108
Full Name/s & Surname: *
Address: *
Cell number: *
Home number:
Email address: *
Citizenship: Country *
I.D. No. *
ARTS CAPITAL ANGEL INVESTING IN
Clear selection
Name & Surname of Specific Artist:
If possible, please provide the telephone number of the artist
DEBIT ORDER AUTHORISATION: Bank *
Account Holder *
Account no: *
Branch: *
Branch code: *
Type of account: *
Amount to be debited: *
Date of monthly debit: *
DECLARATION: I confirm that the information provided above is correct. I, the undersigned, authorise Arts Capital to make arrangements with my bank to withdraw amounts as set out above. I acknowledge that the terms and conditions have been explained to me and herewith accept them. *
Required
Date: *
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