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United Netherlands aMUNli | Sign-up Form
Dear UNLer,
Via this form, you can sign up to join the alumni network of United Netherlands, called aMUNli.
All former delegates and current or former board members of United Netherlands are invited to join. The annual fee is €15, and will be withdrawn annually from your bank account.
Kind regards,
The aMUNli Board
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Email
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Record my email address with my response
First name
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Your answer
Last name
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Your answer
Delegation year (i.e. 2016/2017, if applicable)
Your answer
Board year (i.e. 2016/2017, if applicable)
Your answer
Address
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Your answer
Zip code
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Your answer
City
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Your answer
Country
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Your answer
Email address
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Your answer
Phone number
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Your answer
IBAN
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Your answer
BIC code (in case of a non-Dutch bank)
Your answer
Name of the account holder
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Your answer
Authorization of annual payment
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I hereby authorize and request the United Netherlands aMUNli association to make annual withdrawals of €15 initiating debit entries to my account. This authorization can be withdrawn or reversed at any time by sending an email to
amunli@gmail.com
Terms of conditions
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I hereby declare that I have read and consent to the aMUNli terms and conditions (
https://drive.google.com/file/d/1nc6RHK2NRxFp6U8-CMTXXasNKSnkD_HW/view?usp=sharing
)
Privacy statement
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I hereby declare that I have read and consent to the aMUNli privacy statement (
https://drive.google.com/file/d/1914NJiZzj8O5hPvJCYSctwp8zoNIRIjX/view?usp=sharing
)
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