Registration Form Become a memberCompany nameFirst name(required)Last name(required)Date of birth(required)Telephone number(required)Email(valid email required)Street(valid email required)Postal code / residence(valid email required)City(required)IBAN / bank account(required)Copy identification(required)I agree with the terms and conditions.I hereby grant, until further notice, authorization to Stichting Kunstuitleen Rotterdam to collect the monthly rental fee and the yearly contribution by direct debit from my aforementioned bank account.