De Unie, in your interest

Authorization form

Name: Trade union De Unie
Address: Multatulilaan 12, 4103 NM Culemborg
Creditor ID: NL15ZZZ404777260000
Mandate reference: (by De Unie to fill in)

By signing this form you give permission to the Trade Union De Unie to send standing orders to your bank to debit an amount from your account and to your bank to continuously debit an amount from your account in accordance with the order from the Trade Union De Unie.

If you do not agree with this depreciation, you can have it reversed. Please contact your bank within 8 weeks after debiting. Ask your bank for the conditions.

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