Membership form Boreas

1

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

First Name

Last Name

2

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

3

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

example@example.com

4

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

Street + House No.

Postal Code

City

5

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

Date

6

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

Institution, e.g. TU/e

What are you studying?

7

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

8

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

Dutch

English

9

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

10

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

11

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

12

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

13

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

14

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

15

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.

16

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.

17

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/.

18

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

19

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}

20

Signature* This field is required.

Clear