Order Form
Name
Address
Postal code   Place
Telephone
Bank account number
Email address
Become a donor for a minimum of 10 annually
Orders these form numbers  indicate quantity
Orers these publication numbers
and has transfered the total sum to bank account NL40INGB0004459166 (BIC number BIC INGB NL 2A) to the name of Hoppe Stichting.

 


In case the electronic transfer of this form should fail, please print this page and send it via regular mail to:
Hoppe Stichting, Elzenkamp 5, 6573 XT Beek bij Nijmegen, Netherlands.

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