Clothing Registration Programme Subscription

E-mail for login and invoicing *

Password*

Retype Password *

The above login is only for this website to access your subscription. For the clothing registration system of your club, you will receive the login details from us.

The password must contain at least 10 characters and at least 2 numbers and 1 capital letter

Contact person details

First name *

Surname *

Email address *

Phone number

Billing address

Sports club *

Street + house number *

Zip code *

Place of residence *

Type of sport *

Additional Fields & Functions

Do you want additional fields and/or functions? (price quote will follow by email)

Comments / additions

Country *

Payment Information

Coupon

Payment Terms

€365,00 for each Year

Payment Method *

When paying via iDeal, an annual automatic direct debit takes effect.
_{You can turn this off in your account if you do not wish to renew automatically}

_{Kledingregistration.nl is part of Bluepoint Webdesign.
Invoicing and administration are done through this party.}

I accept