Membership form – NSTTV Akris

Great that you want to become a member of Akris! You can register with the form below.

Nederlandse versie.

Name *

Initials *

Address *

Postcode *

City *

Email *

Phone number *

Date of birth *

NTTB number

If you played competition in The Netherlands before.

Where do you study? *

Student number/Sportscard number *

Are you interested in playing competition for Akris? *

Account number (IBAN) *

By entering your account number, you give permission to NSTTV Akris to send recurring direct debit orders to your bank to debit an amount from your account due to contribution payment and your bank to continuously debit an amount from your account in accordance with the instruction of NSTTV Akris. If you do not agree with this debit, you can have it reversed. Please contact your bank for this within eight weeks of the debit. Ask your bank for the conditions.

Checkboxes *

I agree to NSTTV Akris saving and using the above mentioned data.

Checkboxes *

I agree to the permission statement.