Date of Birth *

MM

DD

YYYY

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Processing of your Personal Data *

I am informed that my personal data is processed by the association in accordance with the provisions of European Regulation No. 2016/679 of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data (GDPR). Please indicate YES or NO.

Yes

No

Annual Membership fees *

as a member* you can benefit from a reduced rate for events and activities that are organized by us. Once you become a member, we will contact you to explain your benefits! *Please contact us for a reduced rate if you would like to participate but are currently not able to pay the membership fee

Exemption - applicable to beneficiaries (0EUR)

Student Card Holders (15EUR)

Regular Rate (50EUR)

Small Business (under 50 employees) (100EUR)

Medium Business (50-100 employees) (250EUR)

Large Business (over 100 employees) (1,000EUR)

Sponsoring Member(>10,000EUR)