RAGweek loterij/lottery
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Voor- en achternaam/First and last name *
Telefoonnummer/phone number *
E-mailadres/email adress *
Hoeveelheid loten dat ik wil kopen (gebruik cijfers, bv. ''10''. Loten kosten €1 per stuk.) / Amount of lottery tickets I would like to purchase (please indicate using numbers, e.g. 10. Tickets cost €1 a piece) *
Hierbij beloof ik mijn loten te betalen vóór 16 mei door het over te maken naar NL61RABO0136781470 t.n.v. Stichting RAGweek Nijmegen (zet ''jouw naam + loterij" in de omschrijving!!!!) / I hereby promise to pay for my tickets BEFORE May 16th by transferring it to NL61RABO0136781470 in the name of ''Stichting RAGweek Nijmegen''. (please put ''your name + lottery/loterij'' as the description!!!!!!) *
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