ONLINE CLUB AFFILIATION RENEWAL Club Name *Club Tax ID *First Name *Name of Legal Representative/PresidentMiddle NameLast Name *Name of Legal Representative/PresidentDate of BirthDaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924If the Legal Representative hasn't changed since last year leave this blank.BirthplaceIf the Legal Representative hasn't changed since last year leave this blank.NationalityIf the Legal Representative hasn't changed since last year leave this blank.Tax IDIf the Legal Representative hasn't changed since last year leave this blank.ID Document TypeSelectPassportNational IDIf the Legal Representative hasn't changed since last year leave this blank.ID Document NumberIf the Legal Representative hasn't changed since last year leave this blank.Email *Club Email AddressI apply for: *CLUB AFFILIATION RENEWALI confirm that: *• I have read and agree with the statute of the association• I commit to the payment of the yearly social fee• I give permission to the use of my personal data for the scope of membership of the AssociationPayment method: *I pay now via PayPal/Credit Card [fees apply]I have already paid via bank transfer and I attach a copy of the paymentUpload copy of bank transfer *Choose FileNo file chosenDelete uploaded fileMax size 10 MBTotal Amount€Register
