Registrate membership

I want to registrate as a member of TTV Diemen

Today's date

First name

Last Name

Adress

Postal code

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 numberWeet niet / Don't know: ?

Playd NTTB competition

Yes

No

Welke klasse

For the subscription fee of current year you receive a payment request (tikkie) of the treasurer.
Select way of payment for next year:

Way of payment subscription:

Direct debit each quarter

Yearly installment with Tikkie

IBAN rekening nummer / IBAN account number

Mobiel / Cellphone

Allow pictures of me to be used in publicity for TTV Diemen

Ja

Nee

Message

Select image of : de koffie / the coffee