Deposit return / Credit card form

Please fill in all details
If blanks are left, the transfer can not be processed

Contract number*
Your name*
E-mail address*
Card holder's name*
Credit card number*
Expiration date (mm-yyyy)*
Agreement*  By filling in this form and sending it, I hereby allow Woonstichting De Key, Amsterdam, Holland to use these credit card details for the return of the deposit.