JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Jetonverkoop
Beste ouder en lid
Via dit formulier kan je jetons bestellen.
De prijs van 1 jeton is €1,20.
Je kan de jetons op een chiro-zondag (13:30-14:00) afhalen na betaling.
Gelieve het correcte bedrag te storten op BE59 0682 3417 7326.
Groetjes
Chiro Berg
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Naam
*
Your answer
Voornaam
*
Your answer
Afdeling
*
Speelclub
Flurki
Rakwi
Tito
Keti
Aspi
Aantal jetons
*
Choose
1 jeton = €1.20
2 jetons = €2.40
3 jetons = €3.60
4 jetons = €4.80
5 jetons = €6
6 jetons = €7.20
7 jetons = €8.40
8 jetons = €9.60
9 jetons = €10.80
15 jetons = €18
20 jetons = €24
25 jetons = €30
30 jetons = € 36
35 jetons = € 42
40 jetons = €48
45 jetons = € 54
50 jetons = € 60
Opmerking
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms