Membership for companies

Username

Repeat email

Password

Repeat password

I wish to subscribe for the following KVCV membership (1 year duration):

Membership

Bronze membership: € 363

Silver membership: € 1029

Gold membership: € 1694

These amounts include 21% VAT.

Contact person

Title

First name

Last name

Date of birth

Clicking the month at the top of the pop-up window enables faster navigation through the years and months.

Gender

Professional data

Function

Affiliation (company, institute)

Affiliation department

Address

Postal code

City

Country

Tel

Invoice data
Use the same data from above

Affiliation (optional)

Name

Department (optional)

Address

Postal code

City

Country

VAT number

Invoice

I want to receive an invoice from KVCV

My company will send an order first

If you choose to send an order first, please address this to :
KVCV vzw attn An Mammolito, p/a Universiteit Antwerpen, Campus Groenenborger, Departement Chemie, Groenenborgerlaan 171, 2020 Antwerpen
Or by email to info@kvcv.be

Reception of membership card and Mens&Molecule

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Membership for companies

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