New membership registration

Please complete and send this form online. After completion, you are required to send a passport style photo and by a youth membership, a copy of your identification document, to: membership administration Smashing Pink, Palmstraat 3 - 1hg, 1015HP Amsterdam. These may also be sent digitally to leden@smashing-pink.nl (pass photo must be minimum 300 x 400 pixels).
All new members pay a one-off joining fee of €15.

First name: *

Initials:

Surname: *

Gender: *

Street and house number: *

Post code: *

Town or city: *

Date of birth: *

Private telephone number: *

Mobile phone number: *

Private e-mail address: *

Occupation:

I would like to know more about volunteer activities: *

I object to my name, ranking and private telephone number being listed in the membership list: *

Tennis experience

Have you played tennis before?: *

How many years?:

Are you registered with the KNLTB?: *

Have you played competition tennis?: *

If so, in which class mainly?:

How many years?:

Will you still be member of another tennis club?: *

If so, which club?:

Membership options

I would like: *

As a new member I pay a one-off amount of €15: *

I declare that I will abide by the club's statutes and general rules and conditions: *

Payment information

The undersigned gives their authority to Smashing Pink to collect their annual club membership fee (including a one-off joining-fee for new members) until further notice. You may cancel this arrangement in any year before 1st December, effective for the following membership year. Should you not be in agreement with the debited amount, you may request your bank to return this amount within 30 days of it being debited.

Bank account number: *

Name of account holder: *

I accept the direct debit: *

Place of signing: *

Datum: *

I have sent a pass photo to Smashing Pink: *

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