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.
If you experience any problems with this form, note that You can always signup to Amino using our backup system!
Fields with a * are mandatory.