Becoming a donor
Thank you for wanting to become a donor of HCSA. Because of your help, we are able to organise the activities and improve the social cohesion among Honours students. If you donate more than €10,- yearly you will receive a spot on our official list of donors. If you want to cancel your donorship, please send an email to board@hcsa.nl.
First Name *
Your answer
Last Name *
Your answer
E-mail *
Your answer
Please provide your IBAN *
Your answer
Do you agree to the following terms? *
Required
*By sending this form I authorize the HCSA to initiate debit entries to my checking account at the financial institution listed above, for the collection of premiums on the policy specified, that is €10 per year. Your info will be kept private.
Submit
Never submit passwords through Google Forms.
This form was created inside of Rug-honours.nl. Report Abuse