Form Members & Contributors / Vrijwilligers / Meehelpen

Form Members & Contributors

Our membership and contributor costs are as following:

Are you under 18 years old? Ask permission from your parents or caretakers!

Please fill in all the following fields. Ofcourse your personal information will be treated confidentially.

Name *

Last name *

E-mail address *

Date of birth *

Street *

Postal code and city *

Telephone number *

Bank account number *

Do you want to become a member or contributor? *

I want to become a member from €6 per year
I want to become a contributor from €12 per year

If you want to contribute more than €6 or €12 per year, please let us know for what amount?

Yes, I give permission to process my personal information *

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