SEPA Continued Authorisation
Creditor Name: Study Association T.W.I.S.T.
Creditor Address: Postbus 9515, 2300 RA Leiden, The Netherlands
Creditor IBAN: NL72INGB0001612125
By signing this form you grant Study Association T.W.I.S.T. permission to send a direct debit to your bank to withdraw the annual contribution of € 10,- from your account to the account of Study Association T.W.I.S.T.. Additionally, it will allow Study Association T.W.I.S.T. to annually deduct this amount from your bank in accordance with the statutes of Study Association T.W.I.S.T.. If you do not agree with this withdrawal, you may have it refunded. To do this, please contact your bank within eight weeks of the debit. Contact your bank about the terms and conditions. Upon cancellation of membership, your personal data will also be removed from the collection register of the association.