ClubCollect

BC Orbiton

Personal Details

To protect the privacy of minors (people under the age of 18) please consider entering only their initials instead of their full first name.

Title

Initials (required)

First Name (required)

Infix

Last Name (required)

Gender (required)

Male

Female

Rather not say

Date of Birth (required)

Contact Details

Preferably enter a mobile number

Contact Email (required)

Phone 1

Country Code (required)

Phone Number

Phone 2

Country Code

Phone Number

Find Address

Type in some of your address details to locate your address

Address line 1 (required)

House No.

Extension

Address line 2

Postcode (required)

City (required)

Country

Payment Details

Payment Type

D.m.v. Incasso/by direct debit

D.m.v. iDEAL/by iDEAL

How do you want to pay your bills?

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)

Choose from one of the memberships shown. The amounts shown do not include any discount. For a non-full season, you get a discount on the membership fee (you only pay for the remaining months of the season).

Are you in possession of an “Ooievaarspas”? (The Ooievaarspas is for low-income residents of The Hague, Leidschendam-Voorburg and Rijswijk). (required)

Depending on the balance on your Ooievaarspas, an adult receives a maximum 50% discount and a youth member a 100% discount on the membership fee. The remaining part has to be paid by the member himself.

What is your playing level (own estimation) (required)

Please indicate whether you object when club photos showing you being used for communication and/or promotional purposes. (required)

For youth members: also ask your parent(s) or guardian(s).

E-mailadres voor facturen

Enter email address for invoices if different from email address for contact. For youth members, enter email address of parent(s) or guardian(s)

Additional Info

Is there anything else you want us to know?

*Your membership and therefore payment of your contribution will be renewed automatically. Cancellation of membership can only be done in writing before 1 June each year by sending an e-mail to ledenadministratie@orbiton.nl. Later cancellation will result in an after-charge, see www.orbiton.nl. Members of Orbiton are expected to take note of the statutes and commit to them.