register.md

layout	title
default	Register

Read more about our memberships →

Request to become a member

All requests are checked personally and we'll contact you within roughly 48 hours.

<script src='https://www.google.com/recaptcha/api.js'></script>

  <tr>
    <td><label class="control-label" for="firstname">Firstname *</label></td>
    <td><input type="text" class="form-control" id="firstname" name="firstname" /></td>
  </tr>
  <tr>
    <td><label class="control-label" for="lastname">Lastname *</label></td>
    <td><input type="text" class="form-control" id="lastname" name="lastname" /></td>
  </tr>
  <tr>
    <td><label class="control-label" for="nickname">Nickname *</label></td>
    <td><input type="text" class="form-control" id="nickname" name="nickname" /></td>
  </tr>
  <tr>
    <td><label class="control-label" for="email">Email *</label></td>
    <td><input type="text" class="form-control" id="email" name="email" /></td>
  </tr>
  <tr>
    <td><label class="control-label" for="postal">Postal *</label></td>
    <td><input type="text" class="form-control" id="postal" name="postal" /></td>
  </tr>
  <tr>
    <td><label class="control-label" for="city">City *</label></td>
    <td><input type="text" class="form-control" id="city" name="city" /></td>
  </tr>
  <tr>
    <td><label class="control-label" for="address">Street + number *</label></td>
    <td><input type="text" class="form-control" id="address" name="address" /></td>
  </tr>
  <tr>
    <td><label class="control-label" for="phone">Phone *</label></td>
    <td><input type="text" class="form-control" id="phone" name="phone" /></td>
  </tr>
  <tr>
    <td><label class="control-label" for="age">18+ **</label></td>
    <td><input type="checkbox" class="form-control" id="age" name="age" /></td>
  </tr>
  <tr>
    <td><label class="control-label" for="notes">Notes</label></td>
    <td><textarea class="form-control autogrow" id="notes" name="notes" rows="5"></textarea></td>
  </tr>
</tbody>

What type of hacker are you?

Member of the Space (25 euro) Friend of the Space (5 euro)

(*) mandatory.
(**) If you are younger than 18, you can still apply. Just leave this checkbox unticked.

Submit request

After you become a member

You can become a member by registering yourself here. After we confirm your membership, you can create a monthly transfer for your contribution to our account. Our accountnumber is : NL55INGB0006918331. If you have any further questions, do not hesitate to send us an email at [email protected]