Subscription

If you want to be a member of Study association "De Veetelers", please fill in this form.

Name

First name

Last name

Adress

Street name

House number

Zip code (in 7799 KV)

Place

Subscription Info

Please note, if you do not follow any of the studies listed below, choose "None of the above". We will contact you in that case.

Email (from your WUR account)

Mobile phone number (indicate nationality, e.g. +316...)

Starting year of study

Date of Birth (YYYY/MM/DD)

Subscription preference

Type of subscription Yes I would like to become a member of Study association "De Veetelers" until I resign. I give the board permission to take the subscription fee from my bank account. Yes I would like to become a member of Study association "De Veetelers" only for this academic year (2023-2024). I give the board permission to take once the subscription fee of 8 euros from my bank account.

Privacy agreement

I agree with the Privacy Statement and the General Rules of Study association "De Veetelers". I also give the board of "De Veetelers" permission to handle my personal information and bank account information with care within the board for membership administration purposes. Information about privacy and rules can be found at the following address: http://www.veetelers.nl/nl/privacy-policy

Privacy Statement:

I agree

Bank details

IBAN account

Signature

Honesty Statement

I declare that all information has been filled in truthfully.

Declaration:

I promise

Sign the document

I am not a robot