Uitschrijfverzoek / DE-REGISTRATION REQUEST

This is the deregistration form. The deadline for deregistration is the first of May. Make sure that if you want to deregister, you inform the club about that before that time.

Please make sure that all invoices have been payed before you sign off from BC Apollo.

Deregistration is only final when your receive a confirmation e-mail about this from BC Apollo Amsterdam.

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Name *

First

Last

Geboortedatum / Date of Birth *

Email *

Please share the e-mail adres that BCApollo can use if there are questions about your deregistration request.

Telefoonnummer / Telephone number *

Please share the number that BCApollo can use if there are questions about your deregistration request.

Rede voor opzegging / Reason for signing off

This field is optional. If you want to, please share the reason for signing off. Your comments might help us improve our club.

Moet er dit jaar nog contributie betaald worden? / Do you still have to pay contribution for this year? *— Select Choice —Yes, I’ll do that right nowI don’t know. Can you help me?No

Help ons svp door te delen op welke datum of data u heeft betaald / Please help us by writing down the date or dates of your payment.

If you are looking for the transfer in your account, you can search on the Apollo bank account number which is: NL69RABO0190596635. Thanks for helping out!

Moet er nog contributie betaald worden voor voorgaande seizoenen? / Do you still have to pay contribution for earlier seasons? *— Select Choice —I don’t know. Can you help me?Yes, I’ll do that right nowNo

Sorry, you specified that you stil have to pay invoices from this year or earlier years. Please pay the amount or contact us for an agreement about the payment process. It will help us a lot if you do that BEFORE sending this form.

Send deregistration request