ClubCollect

FIRST. Maastricht

Personal Details

First Name (required)

Infix

Last Name (required)

Gender (required)

Male

Female

Rather not say

Date of Birth

Studentnumber

Only the numbers of your studentnumber

Contact Details

Contact Email (required)

Phone 1

Country Code (required)

Phone Number

Address line 1 (required)

House No.

Extension

Address line 2

Postcode (required)

City (required)

Country

Payment Details

Payment Type

Automatische incasso internationals

Our SEPA Direct Debit system only detects EU-IBAN accounts. If you don't have an EU-IBAN account, then you have to take a screenshot from the whole form or type the all the information in the email and send it to secretaris@firstmaastricht.nl

IBAN (required)

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

Other Details

Type of Membership (Subscription/Plan) (required)

Master (required)

Additional Info

I give permission to use image material in which I may appear for promotional purposes, including on social media, for printed matter and the website.