Name: Friends of Hope Flowers Foundation
Address: W. Prinsstraat 23
Postal code + City: 4101 ZW Culemborg
Creditor ID: NL87 ZZZ 6154 2296 0000
Authorization code: “your structural donation in support of HFS”
By signing this form you agree:
— to the Friends of Hope Flowers Foundation ( ‘Vrienden van Hope Flowers’) to regularly send direct debit instructions to your bank to debit an amount from your account; and
— to your bank to regularly debit your account in accordance with the instructions of the Friends of Hope Flowers Foundation (‘Vrienden van Hope Flowers’).
If you do not agree with any debit, you can have it reversed. Please contact your bank within eight weeks of the debit. Ask your bank for the conditions.