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ON-LINE VERLONINGSFORMULIER - on-line Remuneration form

Your Name (required)
Your E-mail (required)

grants Verloningsburo Eindhoven the task to send an invoice to (originator):

Firm
Mr. Mrs. Attn.
Contact
Street
Postalcode
City
Country
E-mail

regarding the performance of:

Artist/Act/Ensemble
Perform. date (dd/mm/yyyy)
Venue
Total fee in Euro's
is
Number of artists
Number of self-employed
These self-employed
Gageverklaring (GVK)
Copy ID/Pasport
Remarks & Questions



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