VSA Utrecht Members sign-up 2022-2023

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Dear prospective member,

Thank you for your interest in becoming a member of VSA Utrecht. We're very excited to welcome you!

As a member, you will have access to all our events and discounts at cafes, restaurants, and webshops!
If you have any questions, you can contact us at vsa.utrecht@gmail.com.
We will try to get back to you as soon as possible.
After signing up, you will receive an e-mail with your membership card and link to our member whatsapp group. This may take up to a week.

Hope to see you soon!

Love,
the board

Name and surname *

Email address *

Do you want to receive our monthly newsletter? *

Yes

What university are you/will you be attending? *

Utrecht University

Hogeschool Utrecht

Other:

What is your student number? *

Are you Dutch? (We are asking since the University and Hogeschool want to know our percentage of internationals) *

Yes

Prefer not to say

Phone number *

If you can't afford the contribution fee of €10, you might be eligible for our social inclusion fund. Please inform us a bit about your situation if you want to request a waiver of the contribution fee.

The membership fee is a minimum of €10/ academic year, but you are free to donate a little more if you want to :). Please make the payment to: NL09 TRIO 0320 3894 21, and please mention your name and "membership 2022-2023" in the description. *

I paid

I did not pay

I'm applying for the Social Inclusion Fund

Do you want to opt into pre-authorized payment starting next year? This means we'll withdraw the yearly contribution automatically until you cancel your membership; convenient if you intend on staying a member for multiple years!

I give permission for direct debit

no thanks

Clear selection

Would you like to join one (or more) of our committees? (You can also suggest a new committee!) *

Events Committee (organises 1 fun event per week)

Media Committee (makes +/- 3 instagram posts per week, documents events through photo/video)

Outreach Committee (organises 1 educational/activist event per month)

Excursion Committee (organises a few excursions to different cities/countries per year)

Podcast Committee (makes episodes for our podcast Lettuce Talk)

I would not like to join any committee

Other:

Required

How did you hear about us?

Do you have any comments/ questions/feedback?

Submit

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