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9.1
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Full name
Street name and house number
Postcode City

ASAP
Jan Tinbergenlaan 99
5056WE Berkel-Enschot



City, 16-07-2025

Betreft: opzeggen donatie


Geachte heer/mevrouw,

Hierbij wil ik mijn donatie en bijbehorende incassomachtiging per direct opzeggen.

Naam: Full name
Adres: Street name and house number
Postcode + plaats: Postcode City
IBAN: Last 5 digits of the bank account
E-mailadres: E-mail address

Daarnaast verzoek ik u hierbij tevens, overeenkomstig artikel 17 AVG, over te gaan tot onmiddellijke verwijdering van al mijn persoonsgegevens in de zin van artikel 4(1) AVG, behoudens in de gevallen zoals opgesomd in artikel 17(3) AVG.

Graag zie ik de bevestiging van deze opzegging en de verwijdering van mijn persoonsgegevens per e-mail tegemoet.


Met vriendelijke groet,

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De opzegging hield niet rekening met de opzegtermijn.