Become a Member!

Do you want to become a member of Study Associatio Esperia? Fill in the form below!
If you have any questions or are experiencing trouble, please contact bestuus@bestuursvesperia.nl

Do you want to become an Esperia member? *

Do you want to become a member of our association? How nice! Fill in the information below and join our study association.

What is your last name? *

Insert your last name (Example: Esperia)

What is your first name? *

Insert your first name (Example: Alice)

What are your initials? *

Insert your initials (Example:S.A.)

What is your date of birth? *

Insert your date of birth (Example: 12-04-2013)

What is your Adress? *

Insert your adress (Example: Oude Kijk in 't Jatstraat 26

What is your postal code? *

Insert your postal code (Example: 9712 EK)

Which city/town? *

Insert which city or town (Example: Groningen)

What is your phone number? *

Insert your phone number (Example: 06-12345678 or +31612345678) We use your phone number to add you to a group chat for information and for emergencies if they occur.

What is your email adresss? *

Insert your email adress (Example: bestuur@svesperia.nl) We use your email adress for important communication, GMA invitations and the newsletter.

What is your bank account number (IBAN)? *

Insert your bank account number (IBAN) (Example: NL12RABO0123456789)

What is your student number? (withouth the S) *

Insert your student number without the S (Example: 1234567)

Date of registration? *

Insert the date of registration (Example: 12-04-2013)

I give S.V. Esperia permission to collect the membership free from my bank account *

• Yes

Send