VESTING Membership

(only fill in this form if you’re starting with the study in 2012)

Personal information
Student Number
First name
Last name
Address
Zip Code
City
Telephone
Mobile
E-mail address
Nationality
Date of birth
Gender
Starting year study
Remarks

Membership Information:
To become a VESTING Member, you need to become an EBF Member. You can choose between permanent membership and membership for one year. If you choose to become a permanent member, you are a VESTING (and EBF) Member until you graduate. Fourth year (and older) students can only choose to become a member for one year at EBF.

Type of VESTING Membership:

  I am a first year student and would like to become member until graduation. I will make a single payment of €12,50.
  I would like to become member for a year. I will pay €3,50 each year until I end my membership.

Type of EBF Membership:

  I am already an EBF member.
  I am a first year student and would like to become member until graduation. I will make a single payment of €27,50.
  I would like to become member for a year. I will pay €7,50 each year until I end my membership.

Introduction Camp:
Yes, I’m joining the VESTING Introduction Camp. I will pay € 30,- plus the costs of the consumtions I will buy during the camp and I fill in this form:

Medication
Illnesses/Disability
Allergy
Diet
Vegetarian?
Other peculiarities
To warn in case of emergency:
Name
Address
Postal Code
City
Telephone

Books:
Yes, I would like to order the first semester study books via VESTING. This does not oblige you to buy the books, it is just an indication for us how many books we have to order.

Account Information:
Name account holder
Accountnumber
Name Bank
Place Bank

Authorization Information:
Can be signed later

Passport Photograph:
Select the location of your Passport Photograph on your computer:

If you don't have a photo at this moment, you can mail it later to VIC@deVESTING.nl or you can send it by post to VESTING.

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