KVCV membership for individuals

Username

Repeat email

Password

Repeat password

I wish to subscribe for the following KVCV membership (1 year duration):

Membership

Student membership: € 15

Young professional (non-student until 29 years old): € 30

Standard membership with direct debit: € 55*

Standard membership: € 60

These amounts include VAT.

If you opt for direct debit, we will send you a form that you need to send back signed.

Title

First name

Last name

Date of birth

Clicking the month at the top of the pop-up window enables faster navigation through the years and months.

Private data

Address

Postal code

City

Country

Tel

Professional data

Function

Affiliation (company, institute)

Affiliation department

Address

Postal code

City

Country

Tel

Invoice data
Use my personal address for the invoice
Use the affiliation address for the invoice

Affiliation

Name

Department

Address

Postal code

City

Country

VAT number

Payment

Online Payment

After reception of the invoice

I wish to pay by direct debit

Betaalmethoden

Online Payment: after clicking the "submit" button, you will be redirected towards a page of our payment provider mollie, through which you can pay the membership online. A few days after the payment, you will receive an invoice as proof of payment and the membership will be shipped by regular mail. Following payment methods are supported:

After reception of the invoice: If you opt for "after reception of the invoice", you receive a confirmation email and some time later the invoice with the necessary information to exectue the payment. After payment, you receive the membership card.

I wish to pay by direct debit: If you opt for direct debit, we will send you a form that you need to send back signed.

Reception of membership card and C2W | Mens & Molecule

Remarks

KVCV membership for individuals

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C2W | Mens & Molecule