MEMBERSHIP 2019 Membership 2019 If you are human, leave this field blank. Naam/Nom * Voornaam/Prénom * Gender * M F Geboorte datum/Date de naissance * Email adres * Email adres 2 Tel/Phone * Straat / Rue * Nr * Post code / Code Postal * Stad / Ville * Provicie / Province * Klasse / Class * 4.7 Radial Standard Zeilclub / Club de Voile * Zeillicentie nr. / Nr. permis de voile Belgian Sailing Zeil Nr. / Nr. de voile Contact in nood / Contact en cas d’urgence Privacy Policy GDPR – RGPD * I have read, understood and accepted the privacy policy GDPR/RGPD for membership. Link GDPR/RGPD: https://www.lasergroupbelgium.net/gdpr-rgdp/ Membership 2019 of €30 to be paid to the account of LGB vzw/asbl Account : ING BE98 3900 1553 3593 BIC BBRUBEBB reCAPTCHA Verzenden
