RegisteR

Your registration

Name
Gender*
- Mr.
- Mrs. / Ms.
Name*
First Last
Maiden Name
Maiden Name
Address
Address*
Street Address and Housenumber City State / Province / Region ZIP / Postal Code Country
Account
Password*
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Date of birth
DD slash MM slash YYYY
Contact
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Phone
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Email*
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Membership Details
Membership type*
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Total
0,00 €
Member-get-member code
If you have been referred by a current member, please enter his or her member-get-member code. He or she finds the code in 'account settings'.
Payment Setup
Total price
0,00 €
IBAN Bank Number*
BIC Bank Number
Legal Agreement*
- I agree with the terms and conditions of the subscription and hereby give permission for GreenFree to debit the agreed amount from my account on a yearly basis.
Payment Terms
1. If you have selected to let us debit your account, the following applies:

By agreeing to these debit conditions, you authorize (A) GreenFree to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from GreenFree. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.

Your rights regarding this mandate are explained in a statement that you can obtain from your bank. Your account will be debited within 7 days after your registration.

2. Your GreenFree subscription is valid for the specified period and will be automatically renewed into an indefinite-term subscription - subject to timely cancellation. After the fixed first subscription period, it can be terminate or canceled per month with due observance of 1 month's cancellation period.
Phone
This field is for validation purposes and should be left unchanged.

Oude Utrechtseweg 6
3743 KN Baarn (NL)

T +31-(0)35-5238331
E info@greenfree.com

RegisteR

Your registration

Name

Address

Account

Contact

Membership Details

Payment Setup

Payment Terms

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