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The Fitness House
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Selecteer
Royal card - €45,00
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Starting date
Salutation
Selecteer
Mr.
Mrs.
Name
Date of birth
Streetname + house number
Zip code
City
Phone number
E-mail address
Identification
Selecteer
Passport
ID card
Drivers license
Identification number
Payment
Selecteer
Each 4 weeks
Bank account number
Name account holder
With this I give permission to The Fitness House to send direct debit orders to the bank and I authorize the bank to execute these collection instructions in accordance with the assignment of The Fitness House.
I declare to have taken note of
the general conditions
and agree with the content thereof.
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