Braga Registration Form 2024-2025

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

By filling out this form, you will become a member of Braga.

The total membership fee for T.S.S.V. Braga is €32,50 for the season 2024-2025, if you accept automatic debit(otherwise it will be 2.50 more expensive). Someone who becomes a member from February onwards will pay a €20,- contribution fee.

Payment will be done via automatic debit

Email *

Initials *

First and last name *

Date of birth *

YYYY

Phone number *

School (Tilburg University, Fontys, etc.) *

Student number *

Student U-number (Tilburg University-students only)

Cliënt number Sports Center *

Street and house number *

Postal code: *

Town/City *

I choose: *

The full membership of T.S.S.V. Braga (35,- EUR)

The half membership of T.S.S.V. Braga (20,- EUR), if you start from February

The membership of T.S.S.V. Braga with match licence (82.50 EUR)

Automatic debit(incasso) TSSV Braga

Academielaan 5

5037 ET Tilburg
KVK-number: 40259897
IBAN: NL89INGB0004066018
Incassant ID: NL47ZZZ402598970000

I agree that T.S.S.V. Braga is allowed to debit my owed contribution from my bankaccount every year, until further written notice. By deregistering as member you also deregister for the automatic incasso.

Required

IBAN (Bankaccount number) *

BIC/swift code if you dont have a Dutch bank account

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.