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Aanmelden als sponsor Club van 100
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Mobiel nummer
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Organisatie
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Voornaam
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Achternaam
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Straatnaam
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Huisnummer (en toevoeging)
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Postcode
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Woonplaats
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Rekeningnummer
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(vergeet IBAN niet)
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Vermelding in uiting van UNO (bijvoorbeeld site / clubblad)?
Ja
Nee
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1 jaar of automatische verlenging?
Stop na 1 jaar
Automatische verlenging
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Informeer mij over de sponsoropties van UNO
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Nee
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