Ilse DeLange Fanclub applicationform

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ILSE DELANGE

IDLFC Newsletter juni 2024

the official fanclub

Welcome as a member of Ilse's Official Fanclub. Nice of you to help us support Ilse's musical career in this way. We ask you to fill in this form and send it to us. You can also email us at fanclub@ilsedelange.com or at our postal address.

Membership application / Standing order SEPA

I hereby authorise The Official Ilse DeLange Fanclub (IDLFC) to annually debit the following amount from my account until further notice for the benefit of IDLFC DIGITAL ANNUAL MEMBERSHIP €6,00 (1 January to 31 December)

First name: .....................................................................

Name: ............................................................................

Street: ............................................................................

Zipcode:.........................................................................

Town/City: .....................................................................

Country: .........................................................................

Year of birth: ..................................................................

IBAN nr: .........................................................................

Email: .............................................................................

Date: ..............................................................................

Kruis een van de onderstaande opties aan:

Standard Digital membership Total € 6,00 per year O Digital membership plus Fanclub welcomepackage Total € 15,00

All the above plus “From Ilse” book 1 Total € 25,00

Prices are without shipping costs! Please wait for our return mail with your billinginformation

- Fanclub Welcome Package includes: a full-colour photo card signed by Ilse, a personalised membership card, a previously published fanclub magazine, vintage Ilse post cards, Ilse stickers and an Ilse DeLange friendship bracelet and, of course, links to the latest digital BTS magazine.

YOUR PART:

1. Send this form (picture is also ok) to us to fanclub@ilsedelange.com or to our postal adress.

OUR PART:

Signature: Town/City:

We will process your choice and you will receive confirmation from us as soon as possible after receiving your payment.

The
Winterswijk
fanclubilsedelange.nl www.twitter.com/fanclubIDL www.facebook.com/fanclubilsedelange www.instagram.com/fanclubilsedelange
Official Ilse DeLange Fanclub I Greverkamp 6 I 7104 CA I
E: fanclub@ilsedelange.com W:
Fanclub IBAN: NL 42 INGB 0008 014859 BIC: INGBNL2A
O
O

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