Become a Plons member in two easy steps.
Step 1: Fill in this form.
Step 2: transfer €10,-- registration fee to Plons (NL69INGB0006728347) and note: "Standing order membership Plons" and your name.
Email address *
First name *
Your answer
Surname *
Your answer
Male/Female *
Date of birth *
MM
/
DD
/
YYYY
Street *
Your answer
House number *
Your answer
Postcode *
Your answer
Place of residence *
Your answer
Phone number *
Your answer
Are you entitled to discount by having a student pass and/or an Ooievaarspas? If you do, please send a scan to: secretaris@plons.nu *
Have you got a swimming certificate comparable to the Dutch swimming certificates A and B? *
Club members of Plons have access by way of the use of an id and a password to an online face library. Do you wish to have access and join the face library *
Your name can mentioned in communication within Plons (the club magazine i.e.)? (default = yes) *
Images of you can be used in communication within Plons (the club magazine i.e.)? (default = yes) *
Images of you can be used in communication outside Plons (Facebook, website i.e.)? (default = no) *
How did you get acquainted with Plons *
Required
A copy of your responses will be emailed to the address you provided.
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