BEL-ILCA Membership 2024
Naam / Nom
*
Voornaam / Prénom
*
Geboortedatum - date de naissance
*
Gender
*
M
F
Email address member
*
Email address ouder / parent
Straat / Rue
*
Nr.
*
Stad / Ville
*
Provincie / Province
*
Postcode / Code Postal
*
Tel/mob lid / member
*
Tel/Mob ouder / parent
Zeilclub / Club de voile
*
Zeil nummer / Numéro de voile
Klasse / Class
*
ILCA4
ILCA6
ILCA7
Zeillicentie nr. WWSV / Licence de voile FFY
World Sailor id
Privacy Policy - GDPR-RGPD LGB
*
I have read, understood and accepted the privacy policy GDPR-RGPD for membership. Link https://www.lasergroupbelgium.net/gdpr-rgpd/
Captcha
Verzenden
If you are human, leave this field blank.
Δ