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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
*
03/12/2023
Signature
*
Clear
Complete