Become a member

The building blocks for a solid foundation for our club have now been laid. We are grateful and proud of that. Now we will rise again from all levels of our club, region and community. A healthy and strong Roda cannot be achieved without its supporters.

For the symbolic amount of 19.62 euros you are part of the collective. Is Roda worth it to you? Join Roda 1962 now!

We need some information from you and would therefore like to ask you to fill in the fields below as completely and accurately as possible.

Name*
First name Last name prefixes Last name
Date of birth*
DD dash MM dash JJJJ
Contact details
E-mail address*
Phone number*
Address details
Address*
Street address Postal code City Country
Bankaccount details
IBAN*
In the name of*
Voluntary contribution
The yearly contribution is 19.62 euros. If you want to make an additional voluntary contribution and provide Roda 1962 with extra support, please enter your voluntary contribution below. If you only want to pay the standard yearly contribution, you can leave below field empty.
Referrals
How were you informed about Roda 1962?
- Via an ambassador, family member, friend, acquaintance, etc., namely:
- Other, namely:
Namely:
Namely:
By agreeing and after sending the registration form you declare:*
- That the above information has been filled in truthfully;
- To agree with the direct debit of the contribution;
- That in the event of early termination of membership, the contribution for the entire current calendar year is due;
- That Roda 1962 has explicit permission to contact you.
Yes, I agree with the above

Become a member

Contact details

Address details

Bankaccount details

Referrals