Change= Pro Membership

Registration form Change= Pro

Membership Type*
All prices are monthly fees, excluding VAT

Ivory

€75,00

Silver

€85,00

Gold

€150,00

Platinum

Please contact us directly for platinum membership.

First name*

Last name*

E-mail address*

Phone number*

Company name

CoC(KvK)-number

VAT(BTW)-number

Mailing address

Business address

Website

Discount Code

Bank details

IBAN

Name of account holder

Membership start date*

Agreement

Change= PRO charges & debits the monthly fee automatically unless other arrangements have been agreed to.

House rules*

I hereby agree with the house rules.

Terms and conditions*

I hereby agree with the terms and conditions.

Signing

Name*

Date*

19/04/2024

Signature*