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By signing this form you authorize Archeopteryx to continuously send direct debit orders to your bank to debit an amount from your account regarding membership fees and to your bank to debit an amount from your account continuously in accordance with Archeopteryx's order. If you do not agree with this debit, you can have it reversed. Please contact your bank for this within eight weeks of the debit. Ask your bank for the conditions. You remain a member of Archeopteryx until you cancel. You can cancel for the next calendar year until November 30 of that year.

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