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Use this form to subscribe to the MDA ride-out on August 24th 2008. Make the amount of €5,- payable to:

Stichting MDA Europa

Haagstraat 13 6447CH Merkelbeek

RABO bank: 104226692

IBAN: NL84 RABO 0104226692

Copyright ^© 2004-2007 Stichting MDA Europa. Haagstraat 13, 6447 CH Merkelbeek. The Netherlands.
Kvk:14079743 ⁄ National: Rabobank 104226692 ⁄ International: IBAN: NL84RABO0104226692 ⁄ BIC: RABONL2U