Test - UFW - Vriend van UFW (En only) Gender* Male Female Other/do not share Name* Initial(s)* Prefix Last name* Address* Street name* House number* Number suffix Postal code and city* Postal code* City* Country* Choose a country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands (the) Colombia Comoros Congo (the Democratic Republic of the) Congo (the) Cook Islands Costa Rica Croatia (Hrvatska) Cuba Curacao Cyprus Czech Republic Côte d'Ivoire Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (the Democratic People's Republic of) Korea (the Republic of) Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia (the former Yugoslav Republic of) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova (the Republic of) Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Island Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (Dutch part) Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State Venezuela (Bolivarian Republic of) Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Åland Islands Email* Phone number Date of birth * Ten name van* * * Meerjarige schenking Payment details* I have a European bank account I do not have a European bank account You will receive an email from us with an authorization form for your payment. You can decide the amount of your annual contribution yourself, with a minimum of 75 Euros. Please note: you will only become a Friend of University Fund Wageningen after you have completed the payment. After the completion of this form, you will be redirected to Buckaroo. Buckaroo is our Payment Service Provider. You can pay by credit card (VISA / MasterCard / Maestro). You can decide the amount of your annual contribution yourself, with a minimum of 75 Euros. Please note: you will only become a Friend of University Fund Wageningen after you have completed the payment. Amount in €* Ja, ik word Vriend van University Fund Wageningen Privacy* I agree with the use of my personal data for the purpose detailed above. The privacy statement of WUR applies to this use of your personal data. Read the privacy statement By submitting this form, you consent to: Stichting Universiteitsfonds Wagenings to send continuous direct debit orders to your bank to debit an amount from your account for Friends of University Fund Wageningen. your bank to continuously debit an amount from your account in accordance with the instruction of the University Fund Wageningen Foundation regarding Friends of University Fund Wageningen. If you do not agree with a debit, you can have it reversed. Please contact your bank within eight weeks after debit. Ask your bank for the conditions. Twitter Whatsapp Linkedin Email