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Aanvraag/vernieuwing lidmaatschap 2025 Demande/renouvellement d'adhésion 2025 Application/renewal of membership 2025
Opmerkingen of vragen/Commentaires ou questions/Comments or questions: ->
info@bddc-cbda.be
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Email
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Your email
Lidmaatschap
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/Adhésion/ Membership
A) Effectief lidmaatschap / Membre effectif (50€)
B) Bijkomend lidmaatschap / Membre supplémentaire (25€)
Lidnummer gekend lid (optioneel)
/ Membre no. membre connu / Member no. known member
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Naam
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/ Nom/ Name
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Voornaam
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/ Prénom / First Name
Your answer
Straat
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/ Rue / Street
Your answer
Huisnummer
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/ Numéro de maison /House number
Your answer
Postcode
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/ Code postal / Postal Code
Your answer
Gemeente
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/ Commune / Town
Your answer
Telefoon nr.
/no de téléphone/ Phone No
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Email
*
Your answer
Geboortedatum
*
/ Date de naissance / Date of birth Formaat: dd/mm/jjjj Format : jj/mm/aaaa Format: dd/mm/yyyy
(Bv./p.e./e.g.: 20/01/1995)
Your answer
Landcode
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/Code du pays/ Country code
B
NL
DE
FR
LU
Other:
Taal
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/ Langue/ Language
NL
FR
Other:
Opmerkingen
/ Remarques / Comments
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