Dear, {name}

Please check the information that you filled in carefully. If everything is correct you can sign the form, if not please go back and correct the information.

Name: {name}

Phone Number: {phone}

Email address: {email}

Address: {address[1]}

Birthday: {birthday}

School: {education[1]}

Course: {education[2]}

Sailing experience: {sailingExperience}

Language: {language}

Have a SSCE subscription: {doYou}

Intrested in: {committies}

Member type: {type}

Old board member: {oldboardmember}

Skipper: {skipper}

Bank account: {bankAccount}

The undersigned grants E.S.Z.V. Boreas permission to collect the € 95 fee annually from the bank account named above.

(The Initial contribution fee is determined based on the remaining months in the financial year. Thereafter, the standard annual contribution will apply.)

agreed to: {yearlyContribution}

The membership year runs from 1 March 2025 to 1 March 2026. Notice of membership cancellation must be sent in writing to the Secretary before 1 January. Without timely cancellation, membership will automatically be prolonged by a year.

agreed to: {membershipDuration}

By signing the form, you agree to our privacy policy, statutes and regulations. All forms and regulations are available with the Secretary or at https://www.boreaseindhoven.nl/.

agreed to: {privacyPolicy13}

Comments: {anyFurther}

 Mandate for recurrent collections 

Name : Eindhovense Studenten Zeil Vereniging "Boreas"
Address : Onze Lieve Vrouwestraat 1
Postal code : 5612AW                         
City : Eindhoven
Country : Nederland

Creditor Identifier : NL43ZZZ402391470000 
Mandate reference : (Only visible in the PDF sent after completion)
Reason for payment : Yearly Contribution Payment
One-time or recurring: recurring

By signing this mandate form, you authorise Eindhovense Studenten Zeil Vereniging "Boreas" to send recurrent collection instructions to your bank to debit your account and your bank to debit your account on a recurrent basis in accordance with the instructions from Eindhovense Studenten Zeil Vereniging "Boreas".

As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank.
A refund must be claimed within 8 weeks starting from the date on which your account was debited. Ask your bank for the conditions.

The annual membership period spans from March to March. Notice of membership cancellation must be sent in writing to the Secretary before the first of January. Without timely cancellation, membership will automatically be prolonged by a year.


Name: {name}
Address: {address[1]}
Postal code: {address[2]}
City: {address[3]}
Country: {address[4]}
IBAN: {bankAccount}
Identification Code (BIC): {bankAccountBIC}
Place: {directDebitPlace[2]},
Date: {directDebitDate}

Signature:

{directDebitSignature}