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Studiekring voor Plantenveredeling

Personal Details

Please enter as title: ir., dr, PhD etc. instead of for example mevrouw.

Organisation Name

Title

Initials

Infix

Last Name (required)

Gender

Male

Female

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Contact Details

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Contact Email (required)

Phone 1

Country Code (required)

Number

Phone 2

Country Code

Number

Find Address

Type in some of your address details to locate your address

Address line 1

House No.

Extension

Postcode

City

Country

Payment Details

How would you like to pay in the future?

Payment Type

Direct debet / incasso

iDeal payment

IBAN (required)

By providing your IBAN you permit us to debit your account in connection with your membership.

Other information

Type of Membership (Subscription/Plan) (required)

Subscribe now and pay in advance for 2025!

Would you like to receive email messages concerning the study group? (required)

Yearly we send you a couple of emails regarding the study group, invitations to our meetings mostly.

Second mail address

Please enter an alternative email address (private of business).

Study

What is your most recently completed course of study? For example, the field of study of your master's degree.

Graduation year

In which year did you complete your last study.

Additional Info

Is there anything you would like us to know?

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