Dear Student, We are glad to see you showing an interest in our Student Association. Please read through this form carefully and fill our the required fields below. Once you have filled everything out and clicked “Submit” you will receive an e-mail with more information about the coming weeks! The undersigned gives permission to the treasurer of S.A. Comitas to withdraw the amount of € 40.- from his/her account till resignation of this agreement, for the half-yearly subscription fee of the membership. It is your own responsibility to have sufficient money on your account when contribution is deducted. S.A. Comitas has the right to charge a surplus of 10% of the contribution fee when the withdrawal is bounced. Additionally, by subscribing, I give S.A. Comitas permission for one-time only withdrawal of €12,50 from my bank account as a sign up fee. Additionally you will receive a soos-card with which you can purchase drinks in the soos. The undersigned understands to becoming a paying old member automatically after four years of active membership at the Student Association Comitas and to withdraw the amount of €25,- old membership fee from his/her account until resignation of this agreement. Please note: To end your membership you should inform S.A. Comitas at least two months in advance of the next date of contribution withdrawal. (Contribution dates: February 24th and September 24th). The undersigned gives permission to S.A. Comitas to gather the data that is provided by the undersigned. The data can be stored by S.A. Comitas for two years after the resignation of the agreement. This is aligned with the GPDR and more information about this can be found at www.sa-comitas.nl/privacy-policy-student-association-comitas/ Additionally, by signing this form I give S.A. Comitas permission for one-time only withdrawal of €12,50 from my bank account as a sign up fee. Additionally you will receive a soos-card with which you can purchase drinks in the soos.