Machazine Opt-In Form

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Machazine Opt-In Form

Please fill in this form if you want to keep receiving the Machazine after your first year of receiving it. Make sure to fill in the address at which you want to receive the machazine.

Should you want to stop receiving the Machazine? Please send us an e-mail at board@ch.tudelft.nl

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First name:
For example: Christiaan

Your answer

Initials:
For example: CH

Your answer

Surname:
For example: Huygens

Your answer

Steetname and housenumber:

For example: Mekelweg 4

Your answer

Postal code:
For example: 2628CD

Your answer

City:

For example: Delft

Your answer

E-mail:
For example: board@ch.tudelft.nl

Your answer

I am a:

Student

Alumnus

Clear selection

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