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 and Alumni members is 5 euros, which will be deducted directly from your account.

Apply to Dispuut Verkeer!

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Name *

First

Last

Initials *

Address *

Postal/ Zip code *

Country *

Gender *

Female Male Other

Phone Number *

IBAN *

BIC *

Date of Birth (dd/mm/yyyy) *

Student Number *

Email *

Type of Membership *

Student TTE Student TIL Alumni Member Staff & Phd member

Comment *

By filling in this form, I agree and consent to the storage and use of the information I have provided through this form by Dispuut Verkeer, subject to the Internal Regulations of Dispuut Verkeer. I herewith authorize Dispuut Verkeer to withdraw the yearly contribution (5 euros) along with any other costs for activities I sign up for from my bank account until I terminate my membership via a written request. *

I agree

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