Become a Member of U.L.S.V. Amino

This page is for backup purpose only. If possible, become a member of U.L.S.V. Amino using this page.

By filling in the form below, you will be registered as a member of the Utrechtse Life Sciences Vereniging Amino (U.L.S.V. Amino). You thereby automatically accept the conditions as indicated in our Articles of Association, Rules of Procedure, Privacy Statement and Liability Statement.

Being a member costs €10,- per year and is paid for by direct debit. For this you will need to issue an automatic debit authorization (SEPA incassomachtiging), for which you will be further contacted. Fields with a * are mandatory.

Fill in the complete name of your study