SSV Het Spook - registratieformulier / registration form

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Naam / Name
*

Gebeoortedatum / date of birth
*

YYYY

Waar studeer je? / Where do you study?
*

Radboud

HAN

ROC

Other:

Studentnummer / student number
*

E-mail *

Telefoonnummer / Phone number

Ik zeg toe elk jaar €12,50 over te maken naar de rekening van Het Spook, NL51 RABO 0385 9779 48, met beschrijving 'contributie' / I will transfer €12,50 every year to the bank account of Het Spook, NL51 RABO 0385 9779 48, with the description 'contribution'
*

Required

Ik ga akkoord met het verwerken van mijn gegevens/ I accept that my data will be processed
*

I agree

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms