Subscription form

Thanks for your show of trust in becoming a member! If you are open to this, we would like to meet you. We are very curious to hear your thoughts about the city and your motivations for joining our party. Feel free to call our party board chair Jim Allen (+31 6 51107735) to make an appointment with one of our members. Regardless of whether you do so, you can already enter your particulars here. Please fill in your data carefully. All in this form indicated data will be stored safely and will be only accessible through the ALV authorized people.

Fields with a * need to be filled in.

Do you prefer filling in a form to register as a member of MOED? Then download the membership form, fill it in and send it to welkom@stemvoormoed.nl or hand it to someone from the board.

Personal Information

First name*

Last name*

Street, Number, Addition*

Postal code*

City*

Birthday*

The minimum age is at 14 years. Should you not yet be 18, we will require a written permission of your parent or legal guardian.

Nationality

E-mail address*

You will receive a confirmation of your registration and further important information via mail

Phone number*

Yearly Membership

The annual contribution fee for M:OED is €12,-. I’ll pay an additional voluntary yearly contribution of

We set our membership to a minimum amount of €12 per calendar year. We chose so, as we want money to be the last things to stand in the way to join us. Nevertheless, we are very much dependent on income from membership contributions and would be happy if everyone chooses their membership amount based on their personal financial situation. As a comparison, the average yearly contribution of the biggest Dutch political parties is €42.

I am already member at another party

Membership in M:OED is incompatible with:

membership of another political party whose values conflict with the values of M:OED
membership of another party participating in the Maastricht municipal elections.

Authorization

I hereby declare to enter a membership at ‘Maastricht: Open Eerlijk Democratisch’ until cancellation. I allow ‘Maastricht:Open Eerlijk Democratisch’ to debit the by me chosen annual contribution fee from my account to the bank account of Maastricht: Open Eerlijk Democratisch (IBAN: NL17 INGB 0008 2522 80) until I end my membership or communicate an adapted membership contribution no less than 12 Euro.

IBAN no*

BIC no

Name*

Membership cancellation

The membership runs from 1st January till 31st December. The membership can be cancelled within 4 weeks of notice. Cancellation needs to occur by written notification (letter or email). Without timely cancelation, the membership will be automatically renewed for another year.

Maastricht: Open Eerlijk Democratisch uses the in this gathered registration form data only for internal purposes of the political party. This happens in accordance with Dutch law (AVG). We ensure the treatment of your data in accordance with national as well as European legislation (GDPR).

Subscription form

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