Donor enrollment form
Would you like to stay updated on the activities of the study association Di-Et-Tri? This is possible by becomming a donor of the association. Donors are essential for our association to maintain financially healthy and keep on providing activities and other services to our members.
A distinction between two types of donors can be made. We have yearly donors and one-time-only donors. If you would like to make a one-time donation, please fill out this form.
Donors whom donate at least €12,- per year recieve the four editions of the association magazine, The Health Issue. The Health issue informs our members and donors about everything that happens within our association and the Nutrition and Health programme. Furthermore yearly donors recieve the donorletter, which provides an overview of the association year. Lastly, donors may choose to recieve our weekly mail, the Foodflash. If you would like to become a yearly donor, please fill out this form.
For questions, please contact us via
Di-Et-Tri Board 2020
Celine van Eck
Noa van Loenen
Fay van Emmerik
Study association Di-Et-Tri
Droevendaalsesteeg 2; kamer 110, bode 818
6708 PB Wageningen, Nederland
IBAN: NL06 RABO 0120 2057 42
Incassant ID: NL08ZZZ401238840000
K.v.K. nr. 40123884 Arnhem
A yearly donation of €12,-
Preauthorized debit (the amount will be withdrawn automatically)
Bank account (IBAN)
In the name of
Prove of authorization
With this registration form I will authorize the study association Di-Et-Tri to withdraw the chosen amount of money yearly from the given bank account, until my written or emailed cancelation
With this registration form I state to transfer the chosen amount of money yearly, until my written or emailed cancelation.
Questions or comments
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service