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K.N.P.S.V. -Lustrumpin
Fill out this form to buy the K.N.P.S.V.-Lustrumpin for 4,50 euro!
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The pins will be available from the first week of March!
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Email
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Your answer
First name
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Your answer
Last name
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Department
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G.F.S.V. "Pharmaciae Sacrum"
L.P.S.V. „Aesculapius”
U.P.S.V. "Unitas Pharmaceuticorum"
VCSVU
Amount
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1
2
3
4
5
IBAN
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In the name of
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Payment
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I hereby authorise the treasurer of the K.N.P.S.V. to charge the amount needed for the purchase of the above mentioned product(s) from my account.
AVG / General Data Protection Regulation
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I agree that the K.N.P.S.V. board has access to my data. (
http://knpsv.nl/wp-content/uploads/2018/05/Privacy-statement.pdf
)
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