De Unie, in your interest

Authorisation form

Name: Trade Union De Unie
Address Multatulilaan 12, 4103 NM Culemborg
Invoice ID: NL15ZZZ404777260000
Authorisation feature: (to be completed by De Unie)

By signing this form, you authorise the De Unie Trade Union to send standing direct debitinstructions to your bank to debit an amount from your account, and to your bank to debit an amount from your account on an ongoing basis in accordance with the instructions from Trade Union De Unie.

If you do not agree with this debit, you can request a refund. Please contact your bank within 8 weeks of the debit. Ask your bank about the terms and conditions.

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