MEMBERSHIP FORM

Type of Membership(required)

Regular (non-Dutch citizen) Associate (Dutch citizen)

First Name*(required)

Last Name*(required)

Nationality*(required)

Date of Birth

Partner's First Name*(required)

Partner's Last Name*(required)

Partner's Nationality*(required)

Partner's Date of Birth

Street Address(required)

Post Code(required)

City(required)

Mobile Phone*(required)

Partner's Mobile Phone

Email where you would like to receive communications from the TIC*(required)

Email where you Partner's would like to receive communications from TIC

When did you arrive in The Netherlands?(required)

Please tell us a bit about your children. We use this information strictly to develop activities suitable for children and we do not publish or distribute this information in any form.

Name of Child 1

Date of Birth

Name of Child 2

Date of Birth

Name of Child 3

Date of Birth

Do you have any social media accounts? We’d love to follow you!

Instagram

Facebook

Twitter

I understand that the fields in this form marked with an ( * ) will be included in the tíc Membership Directory.(required)

I understand that I will be added to the tíc quarterly newsletter and event e-mail mailing lists and that I may unsubscribe at any time.(required)

I agree that I am at least 18 years of age and that I have read, understood and accepted the tíc Terms of Membership (above) and Privacy Statement (below) and I that am providing my signature electronically.(required)

Tilburg International Club

MEMBERSHIP FORM

Upcoming Events

Tilburg International Club

MEMBERSHIP FORM

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