Alumni dag 2022/ Alumni day 2022 15-10-2022

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Email *

Naam / First Name *

Achternaam / Last Name *

Bent u lid van de GAP? / Are you a member of GAP? *

Ja/Yes

Nee/No

Vul hier uw bankrekeningnummer in (IBAN) / Please fill out your bank account number (IBAN) - in case you are a Master student you can fill in '1234567' *

Machtiging / Authorization *

Hiermee machtig ik de GAP eenmalig om het inschrijfgeld (5 euro voor GAP leden, 10 euro voor niet leden) van mijn bankrekening af te schrijven / Through checking this box I authorize the GAP to once debit the registration fee (5 euro for GAP members, 10 euro for non-members) from my bank account.

I am a Master student who wants to participate this years' alumni day

Required

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