Studenten Schaak Vereniging Nijmegen

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Membership form

Become a member of SSVN Tussen de Torens via the form below

first name

initials

family name

date of birth

gender

postal code

place of residence

street name and number

telephone number

E-mailadress

educational institution (RU, HAN of other)

Study

expected gradutation date

possesion of RSC sportcard

a radboud sportscard isn't necessary for being a member of our chess club

Yes
No
Not yet

Chess rating (When not sure fill in 800)

How did you come across our chess club?

Interest for committee (not mandetory)

If you want to know more about the commission you can ask the board.

Competition committee
Tournament committee
Promotion committee
Activities committee
audit committee
Website committee
Acquisition committee

IBAN number

We need your IBAN number to collect the contribution of circa 25 euros and potential cost of membership of the Dutch National Chess Federation

SEPA authorisation
I hereby authorise SSVN Tussen de Torens to debit an amount of up to в��25,- from my account, as payment of contribution

Privacy declaration

To become a member of SSVN Tussen de Torens it is mandetory to agree to the privacy declaration. Thus it is not possible to decline this.

I agree to the privacy delcaration.