This translation was made using Google Translate. It may not always be completely accurate, but we cannot verify this. Our apologies for that.

1. Date of receipt
2. Initials
3. First name
4. Middle name
5. Last name
6. Street
7. House number
8. Postal code
9. City
10. Country (where you currently live)
11. Date of birth: month/day/year
12. Gender (check the appropriate box)
13. Price you paid
14. Initials
15. First name
16. Middle name
17. Last name
18. Leave blank
19. Street
20. House number
21. Language preference
22. Postal code
23. City
24. Country where you currently live
25. Date of birth (month, day, year)
26. Gender (check the appropriate box)
27. Phone number
28. Email address
29. IBAN bank account number
30. BIC (only for non-Dutch accounts)
31. Account holder’s name
32. Location
33. Date of purchase
34. Signature of account holder
35. Name of sender
36. Street
37. Postal code + city
38. Affix a stamp here

Send part 2 immediately. This temporary proof is only valid for 4 weeks. If you send it in time, you will receive your fishing permit within 3 weeks.

If you haven’t received your fishing permit after 4 weeks, you should inquire with the Sportvisunie about the whereabouts of your fishing permit, as they issue it.

Only enter the red numbers if you want a direct debit. This means that the membership fee will be debited from your account in November.
If you have moved, please make sure you inform us of your new address in a timely manner so that your permit arrives.
You must cancel your membership for the following year before October 1st.