Inschrijf formulier /subscription form E.S.G.V. 'de Club'
Vul dit formulier in om lid te worden van E.S.G.V. de Club
Fill in this form to become a member of E.S.G.V. de Club
Algemene gegevens
General data
Initials *
Initials
Your answer
First name *
First Name
Your answer
Surname *
Surname
Your answer
Address *
Address
Your answer
Postal code *
Postal code
Your answer
Residence *
Residence in the Netherlands
Your answer
Email address *
Your answer
Phone number *
Phone number
Your answer
Date of birth *
Date of birth (dd-mm-yyyy)
Your answer
Sportscardnumber *
Sportscardnumber (e.g. 707749)
Your answer
Handicap (If applicable)
Your answer
Homecourse (If applicable)
Your answer
Educational Institute *
Educational Institute (e.g. TU/e or Fontys Eindhoven)
Your answer
Study *
Study
Your answer
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