Membership form Boreas

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Name* This field is required.What's your name?

First Name

Last Name

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Phone* This field is required.On which phone number can we call you?

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Email* This field is required.What's an email address on which we can reach you?

example@example.com

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Address* This field is required.Where do you currently live?

Street + House No.

Postal Code

City

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Birthday* This field is required.When were you born?

Date

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Education* This field is required.Where and what are you studying?

Institution, e.g. TU/e

What are you studying?

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Sailing experience* This field is required.How much of an experienced sailor are you?

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Language* This field is required.Which language do you feel most comfortable with?

Dutch

English

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Do you already have a subscription with the Student Sports Centre?* This field is required.A sports card is mandatory if you want to become a member of Boreas. If you don't have one yet, please get one as soon as possible.

YESNO, BUT I WILL GET ONE SOON

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CommittiesBoreas has several committies. In your first membership year, you're encouraged to join one or more! Bakboord is the association's magazine.

Activity committee

Promotion committee

Education committee

Web committee

Material/maintenance committee

Introduction committee

Bakboord committee (magazine)

Lustrum committee

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Type* This field is required.This field is just here for integration with MailChimp

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OldBoardMember* This field is required.This field is just here for integration with MailChimp

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Skipper* This field is required.This field is just here for integration with MailChimp

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Bank account* This field is required.Please enter an IBAN account number from which we can withdraw the yearly contribution.

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Yearly contribution* This field is required.The undersigned grants E.S.Z.V. Boreas permission to collect the € 95 fee annually from the bank account named above. During the first membership year, a reduced fee of € 50 is collected instead.

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Membership duration and prolongation* This field is required.The membership year runs from 1 March 2024 to 1 March 2025. Notice of membership cancellation must be sent in writing to the Secretary before 1 January. Without timely cancellation, membership will automatically be prolonged by a year.

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Privacy policy, statutes and regulations* This field is required.By signing the form, you agree to our privacy policy, statutes and regulations. All forms and regulations are available with the Secretary or at https://www.boreaseindhoven.nl/.

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Any further thoughts?Is there anything you'd like to share that wasn't included in this form?

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Dear, {name}

Please check the information that you filled in carefully. If everything is correct you can sign the form, if not please go back and correct the information.

Name: {name}

Phone Number: {phone}

Email address: {email}

Address: {address[1]}

Birthday: {birthday}

School: {education[1]}

Course: {education[2]}

Sailing experience: {sailingExperience}

Language: {language}

Have a SSCE subscription: {doYou}

Intrested in: {committies}

Member type: {type}

Old board member: {oldboardmember}

Skipper: {skipper}

Bank account: {bankAccount}

agreed to: {yearlyContribution}

agreed to: {membershipDuration}

agreed to: {privacyPolicy13}

Comments: {anyFurther}

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Signature* This field is required.

Clear

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