Registration form / Inschrijfformulier S.C.A. Fortis

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Registration form / Inschrijfformulier S.C.A. Fortis

By filling in this form, you agree to become a member of S.C.A. Fortis. You will receive a payment request within 4 weeks of €15,-. This is the total remaining membership contribution for the academic year 2019-2020.

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Last Name / Achternaam *

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First Name - Voornaam *

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Email *

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Phonenumber / telefoonnummer *

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