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Membership
Bulletin d'affiliation - Aanvraag lidmaatschap
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Email
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Organisation / Organisatie / Firme / Firma
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Forme Juridique / Rechtsvorm
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Nom / Naam
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Prénom / Voornaam
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E-mail
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Adresse / Adres
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N° TVA / BTW Nr
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Téléphone / Telefoon
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Website
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Cotisation d' affiliation / type lidmaatschap
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Membre Individuel / Individueel lidmaatschap (913,- + 21% TVA/BTW)
Fédération / Federatie (2284,- + 21% TVA/BTW)
Membre d'une fédération membre/ lid van een steunende federatie (613,- + 21% TVA/BTW)
Remarques / Opmerkingen
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