Membership form - Royal Belgian Forest Society

Member information

This information will remain strictly confidential.

I am a...

natural person

company

Civil status

Mrs.

Mr.

Firstname

Lastname

E-mail

Telephone / mobile phone

Company name

VAT NUMBER

Address

Street and number

Postcode

City

Country

Same person

The contact person is identical

Civil status

Mrs.

Mr.

Firstname

Lastname

E-mail

Telephone / mobile phone

Address

Street and number

Postcode

City

Country

Your assets

INSURANCE R.C. FOREST
To insure your surfaces, ask for the premium subscription.

Wooded areas and farmland with trees are automatically insured. Non-wooded farmland, on the other hand, is not insurable.

Type of contribution

Non-owner

Base

Premium

List your plots

Province(s)	Town(s)	Number ha	Type

Total number of hectares : ha

My rural heritage is located in...

Wallonia & Brussels

Flanders

I would like to become a member of...

RFSB

NTF

Amount of the contribution

Description

Amount

Basic contribution

basic contribution

€

Basic contribution
(SRFB & LV)

basic srfb-lv contribution

€

Basic contribution
(SRFB & NTF & LV)

basic contribution srfb-ntf-lv

€

Surface area (€2.40/ha)
Total hectares : ha

surface

€

Premium membership

premium membership

€

Insured area (€1.31/ha)
Total hectares insured : ha

insured surface

€

Member of associations

multi-member

€

Resident abroad

foreign

€

Discount

Promo code

The maximum basic contribution is €1,500
The membership fee is valid from January to December of this year.

Your amount is €

The maximum basic contribution is €1,500
The membership fee is valid from January to December of this year.

Your amount is € €
Prorata over the year or Promotional code

Please transfer the amount indicated above to the RFSB account
BE71 3100 4375 5069 (BIC: BBRUEBB)
with the words "Cotisation "

Please transfer the amount indicated above to the joint account
BE55 3630 9608 8644 (BIC: BBRUEBB)
with the words "Cotisation "

Total hectar

Total insured hectar

Price without discount

Total payable

Total subscription associations

Pro-rata month

January

February

March

April

May

June

July

August

September

October

November

December

Current year

Miscellaneous

Choose your reception preference...

	Position	Mail
Request for payment
Payment reminder
Other documents

I became a member thanks to...

word of mouth

to the newsletter

to the website

participation in a field day/training session

other

Specify your reason

I want to subscribe to the Newsletter (Silva Mail, News, Training reminder)

By becoming a member, you confirm that you have read and accept the declaration of confidentiality and are aware that you have the right to withdraw your consent at any time by notifying RFSB Boulevard Bischoffsheim, 1-8, 1000 Brussels or by e-mail to secretariat@srfb-kbbm.be

Member form

Member information

Your assets

Amount of the contribution

Miscellaneous

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