KempenStroom membership

You can become a member of Cooperation KempenStroom by completing the form below and clicking 'Send'. As a member of KempenStroom, we keep you informed of all developments at KempenStroom. If there is new information about you will receive a message from us. If you register as a member, you do not also have to register under 'Interested in KempenStroom'.

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    First name:*

    Initials:*

    Infix:

    Last name:*

    Street*

    House number:*

    Postal Code:*

    Residence (city/town)*

    Date of birth:*


    E-mail address*

    Phone number:*

    IBAN bank account:*

    Name on account:*

    Extra information:

    I have taken note of the privacy statement. For privacy statement click here.

    I register as a member of Cooperation KempenStroom U.A. I agree to the rights and obligations of membership according to the articles of association.
    I authorize Cooperation KempenStroom to debit the registration fee of €30 from the bank account. Membership commences when KempenStroom has received the registration fee. I am aware that the registration fee is not refundable.

    If your company is interested in becoming a member, please contact us at info@kempenstroom.nl