Membership for universities and colleges

Username

Repeat email

Password

Repeat password

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

Membership

Membership for universities and colleges: € 363

This amount includes 21% VAT.

Contact person

Title

First name

Last name

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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

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Country

Tel

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Use the same data than above

Affiliation (optional)

Name

Department (optional)

Address

Postal code

City

Country

VAT number

Invoice

I want to receive an invoice from KVCV

My institution 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 universities and colleges

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