Lid worden:

Ledenadministratie:
Femie de Jager-ten Berge

De Contributie bedraagt € 20,00 per jaar.
€ 30,00 voor ‘Dubbelleden’; dit zijn 2 leden woonachtig op hetzelfde adres.
Jeugdleden tot 21 jaar betalen € 5,00 per jaar.

Graag onderstaand je gegevens:

E-mail: 

Vul de huidige datum in: 

Initialen: 

Roepnaam: 

Voorvoegsel: 

Achternaam: 

Straatnaam + huisnr.: 

Postcode: 

Woonplaats: 

Telefoon: 

'06' nummer: 

Jeugdlid: 

Naam van dubbellid: 

Eventuele opmerkingen: 

{"id":"11","label":"AanmeldenLidmaatschap","active":"1","original_id":"1","unique_id":"wefj2","params":{"enableForMembership":"0","tpl":{"width":"100","width_measure":"%","bg_type_0":"color","bg_img_0":"","bg_color_0":"#d9eb9f","bg_type_1":"color","bg_img_1":"","bg_color_1":"#333333","bg_type_2":"color","bg_img_2":"","bg_color_2":"#81d742","bg_type_3":"color","bg_img_3":"","bg_color_3":"#81d742","field_error_invalid":"Vul alle verplichte velden in:","form_sent_msg":"Bedankt dat je ons gemaild hebt.","form_sent_msg_color":"#000000","hide_on_submit":"1","redirect_on_submit":"","test_email":"bohece@ziggo.nl","save_contacts":"1","exp_delim":";","fb_convert_base":"","field_wrapper":"<div [field_shell_classes] [field_shell_styles]>[field]<\/div>"},"fields":[{"bs_class_id":"12","name":"email","label":"E-mail:","placeholder":"E-mail adres","value":"","value_preset":"","html":"email","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"DatumLid","label":"Vul de huidige datum in:","placeholder":"","value":"","value_preset":"","html":"date","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Initialen","label":"Initialen:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Roepnaam","label":"Roepnaam:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Voorvoegsel","label":"Voorvoegsel:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Achternaam","label":"Achternaam:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Straat","label":"Straatnaam + huisnr.:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Postcode","label":"Postcode:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Woonplaats","label":"Woonplaats:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Telefoon","label":"Telefoon:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Mobiel","label":"'06' nummer:","placeholder":"'06' nummer:","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Jeugdlid","label":"Jeugdlid:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Dubbellid","label":"Naam van dubbellid:","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"Opmerkingen","label":"Eventuele opmerkingen:","placeholder":"","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"send","label":"Verzenden","html":"submit","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"reset","label":"ALLES RESETTEN","html":"reset","add_classes":"","add_styles":"","add_attr":"","terms":""}],"opts_attrs":{"bg_number":"4"}},"img_preview":"base-contact.jpg","views":"698","unique_views":"486","actions":"73","sort_order":"1","is_pro":"0","ab_id":"0","date_created":"2016-05-03 15:01:03","img_preview_url":"https:\/\/vwgmidden-kennemerland.nl\/wp-content\/plugins\/contact-form-by-supsystic\/assets\/forms\/img\/preview\/base-contact.jpg","view_id":"11_259462","view_html_id":"cspFormShell_11_259462","connect_hash":"724e37356a9eacc16e29abf15de3b099"}

Wil je het lidmaatschap opzeggen: 'druk op deze link'