LASA membership form

1

What is your name?* This field is required.

First Name

Last Name

2

And your UvA student number?* This field is required.

Check that it's the full 8 digits

3

What's your e-mail?* This field is required.It doesn't have to be your UvA mail

example@example.com

4

The cost of the membership is of 6 euros. Please transfer that amount to the following account: NL17 ABNA 0104 0822 24 Without this payment your membership will not be valid.* This field is required.The membership is valid until July 2024 (end of the present academic year)

I understand, and will pay the indicated amount.

5

Write your instagram handle to be added to the close friends list on our Instagram for access to exclusive content and information!

6

The provided information will be stored in a private database. Your personal information will not be passed on to third parties.* This field is required.

I accept

I don't accept

7

You indicated that you do not wish to have your information added to the LASA database. Without this permission, we cannot register you as a member.

Change my preference

I understand, I do not wish to become a member