{"id":3004,"date":"2024-01-16T16:15:41","date_gmt":"2024-01-16T16:15:41","guid":{"rendered":"https:\/\/www.epidemiologie.nl\/membership\/aanmelden-nieuw-lid\/"},"modified":"2024-06-26T08:08:47","modified_gmt":"2024-06-26T08:08:47","slug":"registration-new-member","status":"publish","type":"page","link":"https:\/\/www.epidemiologie.nl\/en\/membership\/registration-new-member\/","title":{"rendered":"Sign up new member"},"content":{"rendered":"<h1>Sign up new member<\/h1>\n<div>\n<p>If you are a student and would like to qualify for the reduced fee, please complete the form below and enclose proof of your university registration.<\/p>\n<p>We would also like to refer you to our <strong><a href=\"\/wp-content\/uploads\/2024\/02\/Privacy_Statement_Vereniging_voor_Epidemiologie_18-06-2018L.pdf\" target=\"_blank\" rel=\"noopener\">Privacy Statement<\/a><\/strong>.<\/p>\n<\/div>\n<div>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3729-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"3729\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/3004#wpcf7-f3729-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3729\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3729-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"registratieform\">\n\t<!-- Persoonsgegevens -->\n\n\t<div>\n\t\t<label class=\"uk-label\" for=\"aanhef\">Salutation *<\/label>\n\t\t<div class=\"field\">\n\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"aanhef\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"aanhef\" value=\"Mr.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Mr.<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"aanhef\" value=\"Ms.\" \/><span class=\"wpcf7-list-item-label\">Ms.<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"uk-grid\">\n\t\t<div class=\"uk-width-1-2 uk-margin-small-top\">\n\t\t\t<label class=\"uk-label\" for=\"Titels\">Titles<\/label>\n\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"titels\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text uk-input\" id=\"titels\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"titels\" \/><\/span><\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2 uk-margin-small-top\">\n\t\t\t<label class=\"uk-label\" for=\"geboortedatum\">Date of birth *<\/label>\n\t\t\t<div class=\"field\">\n\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"geboortedatum\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date uk-input\" id=\"geboortedatum\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"geboortedatum\" \/><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2 uk-margin-small-top\">\n\t\t\t<label class=\"uk-label\" for=\"voorletters\">Initials *<\/label>\n\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"voorletters\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required uk-input\" id=\"voorletters\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"voorletters\" \/><\/span><\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2 uk-margin-small-top\">\n\t\t\t<label class=\"uk-label\" for=\"achternaam\">Last name *<\/label>\n\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"achternaam\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required uk-input\" id=\"achternaam\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"achternaam\" \/><\/span><\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<!-- Adresgegevens -->\n\t<div class=\"uk-grid\">\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"postcode\">Postcode *<\/label>\n\t\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"postcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required uk-input\" id=\"postcode\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postcode\" \/><\/span><\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"woonplaats\">City *<\/label>\n\t\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"woonplaats\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required uk-input\" id=\"woonplaats\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"woonplaats\" \/><\/span><\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"land\">Country *<\/label>\n\t\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"land\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required uk-input\" id=\"land\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"land\" \/><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"priveadres\">Home address *<\/label>\n\t\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"priveadres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required uk-input\" id=\"priveadres\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"priveadres\" \/><\/span><\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"priveadres2\">Home address 2<\/label>\n\t\t\t\t<div class=\"field\">\n\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"priveadres2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text uk-input\" id=\"priveadres2\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"priveadres2\" \/><\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<!-- Bedrijfsgegevens -->\n\t<div class=\"uk-grid\">\n\t\t<div class=\"uk-width-1-1\">\n\t\t\t<label class=\"uk-label\" for=\"naam_instelling\">Name of institution<\/label>\n\t\t\t<div class=\"field\">\n\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"naam_instelling\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text uk-input\" id=\"naam_instelling\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"naam_instelling\" \/><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"werkpostcode\">Postcode<\/label>\n\t\t\t\t<div class=\"field\">\n\t\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"werkpostcode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text uk-input\" id=\"werkpostcode\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"werkpostcode\" \/><\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"werkplaats\">City<\/label>\n\t\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"werkplaats\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text uk-input\" id=\"werkplaats\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"werkplaats\" \/><\/span><\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"werkland\">Country<\/label>\n\t\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"werkland\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text uk-input\" id=\"werkland\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"werkland\" \/><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"werkadres\">Work address<\/label>\n\t\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"werkadres\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text uk-input\" id=\"werkadres\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"werkadres\" \/><\/span><\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"werkadres2\">Work address 2<\/label>\n\t\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"werkadres2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text uk-input\" id=\"werkadres2\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"werkadres2\" \/><\/span><\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"uk-width-1-1 uk-margin-small-top\">\n\t\t\t\t<label class=\"uk-label\" for=\"werkadres3\">Work address 3<\/label>\n\t\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"werkadres3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text uk-input\" id=\"werkadres3\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"werkadres3\" \/><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\n\t<!-- Contact & privacy -->\n\t<div class=\"uk-grid\">\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<label class=\"uk-label\" for=\"telefoon\">Telephone *<\/label>\n\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"telefoon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel uk-input\" id=\"telefoon\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefoon\" \/><\/span><\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<label class=\"uk-label\" for=\"email\">E-mail address *<\/label>\n\t\t\t<div class=\"field\"><span class=\"wpcf7-form-control-wrap\" data-name=\"email_lid\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email uk-input\" id=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email_lid\" \/><\/span><\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<div class=\"uk-label uk-margin-small-top\">\n\t\t\t\tCorrespondence received on *\n\t\t\t<\/div>\n\t\t\t<div class=\"field\">\n\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"correspondentie\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"correspondentie\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"correspondentie\" value=\"Home address\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Home address<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"correspondentie\" value=\"Work address\" \/><span class=\"wpcf7-list-item-label\">Work address<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<div class=\"uk-label uk-margin-small-top\">Invoice received on *<\/div>\n\t\t\t<div class=\"field\">\n\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"factuur\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"factuur\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"factuur\" value=\"Home address\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Home address<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"factuur\" value=\"Work address\" \/><span class=\"wpcf7-list-item-label\">Work address<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<div class=\"uk-label uk-margin-small-top\">\n\t\t\t\tReduction on registration costs\n\t\t\t<\/div>\n\t\t\t<div class=\"field\">\n\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"reductie_registratiekosten\"><span class=\"wpcf7-form-control wpcf7-checkbox\" id=\"reductie_registratiekosten\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"reductie_registratiekosten[]\" value=\"As a new member, I would like to qualify for the reduction on registration costs. To this end, I will remain a member of the VvE for at least two years.\" \/><span class=\"wpcf7-list-item-label\">As a new member, I would like to qualify for the reduction on registration costs. To this end, I will remain a member of the VvE for at least two years.<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"uk-width-1-2\">\n\t\t\t<div class=\"uk-label uk-margin-small-top\">\n\t\t\t\t<a href=\"https:\/\/www.epidemiologie.nl\/wp-content\/uploads\/2024\/02\/Privacy_Statement_Vereniging_voor_Epidemiologie_18-06-2018L.pdf\" target=\"_blank\">Privacy Statement<\/a> *\n\t\t\t<\/div>\n\t\t\t<div class=\"field\">\n\t\t\t\t<span class=\"wpcf7-form-control-wrap\" data-name=\"privacystatement\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\" id=\"privacystatement\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"privacystatement[]\" value=\"I agree with the Privacy Statement of the VvE\" \/><span class=\"wpcf7-list-item-label\">I agree with the Privacy Statement of the VvE<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<p><div class=\"wpcf7-turnstile cf-turnstile\" data-sitekey=\"0x4AAAAAACCCGlfhh_sZwayG\" data-response-field-name=\"_wpcf7_turnstile_response\" data-theme=\"light\"><\/div>\n\t<div class=\"uk-margin-medium-top\">\n\t\t<input class=\"wpcf7-form-control wpcf7-submit has-spinner uk-button uk-button-secondary\" type=\"submit\" value=\"Registrate\" \/>\n\t<\/div>\n\n\t<div style=\"display: none\"><!-- Mailchimp for WordPress v4.12.2 - https:\/\/www.mc4wp.com\/ --><input type=\"hidden\" name=\"_mc4wp_subscribe_contact-form-7\" value=\"0\" \/><span class=\"mc4wp-checkbox mc4wp-checkbox-contact-form-7 \"><label><input type=\"checkbox\" name=\"_mc4wp_subscribe_contact-form-7\" value=\"1\" ><span>Sign me up for the newsletter!<\/span><\/label><\/span><!-- \/ Mailchimp for WordPress --><\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n<p><!--more--><br \/>\n<!-- {\"type\":\"layout\",\"children\":[{\"type\":\"section\",\"props\":{\"image_position\":\"center-center\",\"style\":\"muted\",\"title_breakpoint\":\"xl\",\"title_position\":\"top-left\",\"title_rotation\":\"left\",\"vertical_align\":\"\",\"width\":\"default\"},\"children\":[{\"type\":\"row\",\"children\":[{\"type\":\"column\",\"props\":{\"image_position\":\"center-center\",\"position_sticky_breakpoint\":\"m\"},\"children\":[{\"type\":\"headline\",\"props\":{\"content\":\"Sign up new member\",\"title_color\":\"primary\",\"title_element\":\"h1\"}},{\"type\":\"text\",\"props\":{\"column_breakpoint\":\"m\",\"content\":\"\n\n<p>If you are a student and would like to qualify for the reduced fee, please complete the form below and enclose proof of your university registration.<\\\/p>\\n\n\n<p>We would also like to refer you to our <strong><a href=\\\"\\\/wp-content\\\/uploads\\\/2024\\\/02\\\/Privacy_Statement_Vereniging_voor_Epidemiologie_18-06-2018L.pdf\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">Privacy Statement<\\\/a><\\\/strong>.<\\\/p>\",\"margin\":\"default\"}},{\"type\":\"html\",\"props\":{\"content\":\"[contact-form-7 id=\\\"e45724b\\\" title=\\\"Aanmelden nieuwe leden\\\"]\"}}]}]}]}],\"version\":\"4.4.4\",\"yooessentialsVersion\":\"2.1.3\"} --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sign up new member If you are a student and would like to qualify for the reduced fee, please complete the form below and enclose proof of your university registration. 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