Become a farmer at Stichting Toentje!
Not a real farmer of course, that's just the nickname we will give regularly contributing members. By filling out this form, you start your contributorship for the charity we have chosen for this year: Stichting Toentje. Instead of filling out the form for seperate donations, you can fill out this one if you want to donate monthly. Your contributorship will start the moment the board's Treasurer sends out the next collection mail after you have signed up. So if you sign up the end of November, the first contribution will be collected in December. Contributorship is valid till the 31st of August 2022, but you may cancel or change your monthly donation at any time.
Sign in to Google to save your progress. Learn more
Email *
1. Name + Surname *
2. I would like to contribute monthly to the Charicie. This money will be donated to Stichting Toentje once all the donations are collected. *
3. Please let us know what amount of money you would like to donate monthly (with a minimum of €1). *
4. Bank account number (IBAN) *
5. Initials + last name of bank account holder *
6. I allow Study Association Esperia to withdraw the chosen monthly donation (which corresponds with the amount I entered at question #3) from my bank account every month up to and including August 2022. *
7. I understand that if I want to cancel my contributorship (or if I want to donate another amount of money) earlier than August 2022, I have to send an email to penningmeester@svesperia.nl. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Esperia. Report Abuse