Member Registration Form
You can become our member in just 5 minutes!
First Name: *
Your answer
Last Name: *
Your answer
Nationality: *
Student Number
Erasmus University student number
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Address *
Where do you live?
Your answer
Post Code *
Put the postal code in the Dutch format consisting of four digits and two letters.
Your answer
City *
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Email *
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Phone number
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IBAN
We want to charge you a membership fee of €39 (or €25 if you pay only for half year membership). It is much more convenient for us, if we can debit it from your account ourselves. Fill in only if you have Dutch bank account. Rules regarding the bank transfer authorisation can be found here: http://goo.gl/xAPByb
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