Sign up 
To become a member of N.S.R.V. Obelix, please sign up using the form below. Is anything not working? Please send an e-mail containing the information that is asked for to secretaris@nsrvobelix.nl

    Personal data

    Last name

    Preposition

    Fist name

    Sex
    malefemale

    Adress

    Postalcode

    Residence

    E-mail adress

    Phone number

    Date of Birth (YYYY-MM-DD)

    Place of Birth

    Institution of education
    HANRUOther

    Sportscard number

    Authorization

    Name Accountholder

    Bank

    IBAN

    Place

    Date (DD-MM-YYYY)

    * With filling in this form, undersigned hereby declares that they want to sign up as a full member of N.S.R.V. OBELIX and authorize the treasurer of N.S.R.V. OBELIX in Nijmegen to automatically collect unnual subscription fee.
    Accept