Apply to DV!

Thank you for being interested in our association! Please give the form some seconds to load and fill it in accordingly.
The annual contribution for student members is 5 euros, which will be deducted directly from your account.

Apply to Dispuut Verkeer!

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Name *

First

Last

Address *

Postal/ Zip code *

Country *

Gender *

Female Male

Phone Number *

Email *

Date of Birth (dd/mm/yyyy) *

IBAN *

Student Number *

Type of Membership *

Student T&P Student TIL Alumni Member Staff & Phd member

Comment *

By filling this form, I agree and consent to the storage and use of the information I have provided through this form by Dispuut Verkeer. I herewith authorize Dispuut Verkeer to withdraw the yearly contribution from my bank account until I terminate my membership, along with any other costs for activities I sign up for. *

I agree

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