Become a member!

How nice that you want to become a member of INPUT!
As a member of Study Association INPUT you get a discount on study books, summaries we sell and on the activities we organize. With this membership you also have access to certain activities which are members only, such as our study trip or city trip. You can register by filling in the form below or drop by your room (T6.23). Your information will only be used to contact you and keep you up to date about the latest news.

Name*
E-mail*
Phone number*
Adress*
Postal code and city*
Date of birth
IBAN*
Product*

Payment membership*
I accept the annual withdrawal of €17,50 to pay for my membership as long as I stay a member of INPUT
Terms and Conditions*
I agree that my personal information gets stored for as long as I am a member or when stated otherwise.
* fields are required.

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Contact

Study Association INPUT
Warandelaan 2, room T6.23
5037 AB Tilburg

013-4663008
info@studievereniginginput.nl

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