ClubCollect

Title

First Name (required)

Last Name (required)

Date of Birth (required)

Nationality (required)

Contact Email (required)

Phone 1

Country Code (required)

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

Monthly Deduction of Membership Fee & Yearly KNAS license fee

Direct Debit

IBAN (required)

I am the bank account holder or custodian.
By signing this mandate form, you authorise (A) ClubCollect to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from ClubCollect. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited.

I request to be accepted to this club by the Board of SchermCentrum Amsterdam as: (required)

Second e-mail (tweede e-mail)

Full Name of Parent if Member is under 18 years old

If your child is below the age of 18 we require your name as well as your email address (see contact email field)

Additional Info

If you are already a member of KNAS, please let us know. Also please indicate if you want to transfer your KNAS-license to SchermCentrum Amsterdam.