Become a member...

 

... by filling out the form underneath. Attention! It's a 3 step process. you 'll end by choosing your username and your password.

 

 

Membership costs 60 euro/year. Please transfer this to: 

 

bank account 380-0142393-68
IBAN: BE82 3800 1423 9368
BIC: BBRUBEBB

 

Mention your name in the message section, especially if your company pays your fee.

Title
Last Name *
First Name
Member since 2017
Institution
Service
Profession
Street + nr
PC + City
Tel work
Fax work
Mobile **
Address for invoice Street + nr **
Address for invoice PC + City **
Tel home **
RIZIV/INAMI - - -
BTW/TAV/VAT
Invoice to *