Membership ESKBV Impact
You can register with this form. The contribution is €20 per year.
After the receipt of a completed form and the payment of €20 your membership is complete.

The contribution can be transferred to: NL20 ABNA 0814323154 - ESKBV Impact with your name as a desciption
Email *
First name(s) *
Last name *
Phone number with prefix *
(eg. +31 for a Dutch number)
Date of birth *
MM
/
DD
/
YYYY
Are you a student? *
Which sport would you like to practice? *
SSC cardnumber (if Fontys) or Tu Campus cardnumber *
Other comments
Do you want to be added to the What's app group? *
You will get a link to it after the submission of this form.
Did you sign up at the SSC website yet? ( go to [https://dms.studentensportcentrumeindhoven.nl/nl/members/profile/organizations] then click " "organizations" -> "Boxing/Kickboxing ESKBV IMPACT" *
Have you paid the contribution yet? *
Bank account info can be found at the start of this form.
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