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Registration form TTV Diemen
I want to sign up as member of the club
Today's date (dd/mm/jjjj)
First name
Last Name
Address
Zipcode
City
DOB (dd/mm/jjjj)
Gender
Male
Female
Other
Cellphone
Email
Want to play competition?
Yes
No
Earlier member of NTTB tabletennis club?
Yes
No
Which club
Old NTTB number
Don't know: ?
Playd NTTB competition
Yes
No
Which class
For the current year's subscription fee you receive payment request (tikkie) from the treasurer. Please choose the way of payment for next year:
Way of payment subscription:
Direct debit each quarter
Yearly installment with Tikkie
IBAN account number
Cellphone
Allow pictures of me to be used in publicity for TTV Diemen
Yes
No
Message
Select image of : de hond / the dog
Submit
