Become a fan

Become a fan of SPRING

Become a fan

Name *

Address

Zip code

City

Country

Email address *

Phone number

My chosen type of FANDOM

FAN 35,- per year

BIG FAN 65,- per year

SUPERFAN 95,- per year

SUPERBIGFAN __ ,- per year

Amount of choice in case you are a SUPERBIGFAN

Fill out a number in euros (without cents)

IBAN

BIC

Name of account holder

Place and date

Captcha

By signing this form, I authorize Stichting SPRING to send recurrent collection orders to my bank to debit my account for SPRING FANCLUB, and I authorize my bank to debit a recurrent amount from my account in accordance with the order of SPRING. (If I do not agree with the debit, I can arrange for it to be refunded by my bank, withing eight weeks of the date of the debit.) I also authorize Stichting SPRING to use my data for communication purposes. If I want to quit my structural donation, I can do so by sending an email to fanclub@springutrecht.nl.

Yes, I agree to the statement above

If you are human, leave this field blank.