Genealogie-GIN: Order Form

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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