Inschrijf formulier /subscription form E.S.G.V. 'de Club'
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Algemene gegevens
General data
Voorletters *
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Voornaam *
First Name
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Achternaam *
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Adres *
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Postcode *
Postal code
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Woonplaats *
Residence in the Netherlands
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Email *
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Telefoonnummer *
Phone number
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Geboortedatum (dd-mm-jjjj) *
Date of birth (dd-mm-yyyy)
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Sportkaartnummer *
Sportscardnumber (e.g. 707749)
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Handicap (If applicable)
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Homecourse (If applicable)
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Onderwijsinstelling *
Educational Institute (e.g. TU/e or Fontys Eindhoven)
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Opleiding *
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