Active Member Weekend

Hi,

Here you can sign up for Active Member Weekend.

Fields marked with an asterisk (*) are mandatory.

Personal InformationName + Surname *
E-mail *
Phone number *
Emergency contact - Name + Surname *
Emergency contact - Phone Number *
Dietary requirements *

Payment IBAN *
Name Account Holder *
BIC (only if you DONT have a Dutch bank account)
Hereby, I authorise the VSPVU to withdraw a maximum of €50 from my bank account. * *

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