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Inschrijfformulier NVC-lidmaatschap - NVC Packaging Centre

<!DOCTYPE html> <!--[if lt IE 7]> <html class="no-js lt-ie9 lt-ie8 lt-ie7"> <![endif]--> <!--[if IE 7]> <html class="no-js lt-ie9 lt-ie8"> <![endif]--> <!--[if IE 8]> <html class="no-js lt-ie9"> <![endif]--> <!--[if gt IE 8]><!--> <html class="no-js"> <!--<![endif]--> <head> <title>Inschrijfformulier NVC-lidmaatschap - NVC Packaging Centre</title> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1"> <meta name="description" content="NVC is een unieke ketenvereniging op het gebied van verpakken, met een netwerk van 14.000 mensen en ruim 550 aangesloten ondernemingen."> <meta name="viewport" content="width=device-width"> <meta name="keywords" content="nvc, vereniging, verpakken, verpakkingen, bedrijven, verpakkingsmateriaal, verpakkingsmaterialen" /><meta name="author" content="/humans.txt"><link rel="stylesheet" href="/css/normalize.css.php?v=1.0"> <link rel="stylesheet" href="/css/main.css.php?v=1.38"> <!--[if IE 7]><link rel="stylesheet" href="/css/ie.css.php?v=1.0"><![endif]--> <link rel="stylesheet" media="only screen and (min-device-width : 320px) and (max-device-width : 480px)" href="/css/small.css.php?v=1.17" /> <script src="/js/vendor/modernizr-2.6.2.min.js"></script> <script type="text/javascript">var _gaq = _gaq || [];_gaq.push(['_setAccount', 'UA-39338314-1']);_gaq.push(['_trackPageview']);(function() {var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true;ga.src = ('https:' == document.location.protocol ? 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Please <a href="https://browsehappy.com/">upgrade your browser</a> or <a href="https://www.google.com/chromeframe/?redirect=true">activate Google Chrome Frame</a> to improve your experience.</p> <![endif]--> <div class="onlyprint"><img src="/css/images/nvc-print-1.gif" width="177" height="104" alt="NVC" /><p>&nbsp;</p></div> <header> <div id="headercontainer"> <div id="logoheader"> <div id="logo2"> <a href="/"><h2>NVC Packaging Centre</h2></a> </div> <div id="headerwrapper"> <div id="languagecontainer"> <div class="flags"><div class="dutch"><a href="https://www.nvc.nl?page=%2Fsignup%2F" title="Nederlands"><span class="spanhider">Nederlands</span></a></div><div class="english"><a href="https://www.en.nvc.nl?page=%2Fsignup%2F" title="Engels"><span class="spanhider">Engels</span></a></div></div><div id="companydescription"> <div class="companyinfo">NVC (opgericht in 1953) is de vereniging van bedrijven die het belang erkennen van verpakken als activiteit binnen de gehele supply chain van verpakte producten. Het NVC lidmaatschap, de projecten, informatiediensten en de opleidingen stimuleren het continu verbeteren van het verpakken.</div> </div> </div> <div id="searchcontainer"> <div class="searchbuttons"> <div id="becomemember1"><a href="/signup/"><span class="spanhider">Word NVC-lid</span></a></div> <!-- <div id="mynvc"><a href="#"><span class="spanhider">My NVC</span></a></div> --> </div> <div class="clearfix"></div> <div class="searchform"> <form name="search" method="get" action="/search/"> <input type="text" size="24" name="term" value="Zoeken" class="textfield" onclick="javascript:this.value=''" /> <button type="submit" class="submitbutton"><span class="spanhider">Zoeken</span></button> </form> </div> </div> </div> </div> <div id="headernav"> <div id="topmenu"> <nav> <ul><li><a href="/">Home</a></li><li><a href="/over-nvc/">Over NVC</a><ul><li><a href="/de-vereniging/">De vereniging</a></li><li><a href="/bestuur-en-directie/">Bestuur en directie</a></li><li><a href="/de-medewerkers-van-het-verenigingsbureau/">NVC medewerkers</a></li><li><a href="/voordelen-nvc-lidmaatschap/">Voordelen NVC Lidmaatschap</a></li><li><a href="/internationale-samenwerking/">Internationale samenwerking</a></li><li><a href="/members/">Overzicht NVC-leden</a></li><li><a href="/press/">Pers</a></li><li><a href="/nvc-position-papers/">NVC Position Papers</a></li><li><a href="/signup/">Word NVC-lid</a></li><li><a href="/privacy-statement---nvc-nederlands-verpakkingscentrum/">Privacy Statement</a></li></ul></li><li><a href="/agenda/">Activiteiten</a></li><li><a href="/contact/">Contact</a></li></ul></nav> </div> <div class="full-page-image"><img src="/userfiles/images/headers/nvc-sharing-the-future-in-packaging.jpg" width="960" height="228" alt="Sharing the future in packaging" /></div></div> </div> <div class="onlymobile bluebar"><h1> Sharing the future in packaging</h1></div> </header> <div id="bg"> <div id="main" role="main"> <div id="wrapper"> <div id="left"> <div class="breadcrumb"> <ul><li><a href="/">Home</a> / </li><li><a href="/over-nvc/">Over NVC</a> / </li><li><a href="/signup/">Word NVC-lid</a></li></ul> </div> <div class="full-page-contents "> <h1>Inschrijfformulier NVC-lidmaatschap</h1><div id="personal"> <script type="text/javascript"> //<![CDATA[ function validate_personaldata(frm) { var value = ''; var errFlag = new Array(); var _qfGroups = {}; _qfMsg = ''; value = frm.elements['employees'].selectedIndex == -1? 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'': frm.elements['employees'].options[frm.elements['employees'].selectedIndex].value; var regex = /^-?[1-9][0-9]*/; if (value != '' && !regex.test(value) && !errFlag['employees']) { errFlag['employees'] = true; _qfMsg = _qfMsg + '\n - \"Hoeveel medewerkers heeft uw organisatie\" is verplicht'; } value = frm.elements['company'].value; if (value == '' && !errFlag['company']) { errFlag['company'] = true; _qfMsg = _qfMsg + '\n - \"Bedrijfsnaam\" is verplicht'; } value = frm.elements['address'].value; if (value == '' && !errFlag['address']) { errFlag['address'] = true; _qfMsg = _qfMsg + '\n - \"Adres\" is verplicht'; } value = frm.elements['zipcode'].value; if (value == '' && !errFlag['zipcode']) { errFlag['zipcode'] = true; _qfMsg = _qfMsg + '\n - \"Postcode\" is verplicht'; } value = frm.elements['city'].value; if (value == '' && !errFlag['city']) { errFlag['city'] = true; _qfMsg = _qfMsg + '\n - \"Plaats\" is verplicht'; } value = frm.elements['country'].selectedIndex == -1? 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'1': ''; if (value == '' && !errFlag['terms']) { errFlag['terms'] = true; _qfMsg = _qfMsg + '\n - \"Ik ga akkoord met de <a href=\"/algemene-voorwaarden-nvc/\" target=\"_blank\">Algemene voorwaarden</a>\" is verplicht'; } value = frm.elements['email2'].value; var regex = /^((\"[^\"\f\n\r\t\v\b]+\")|([\w\!\#\$\%\&'\*\+\-\~\/\^\`\|\{\}]+(\.[\w\!\#\$\%\&'\*\+\-\~\/\^\`\|\{\}]+)*))@((\[(((25[0-5])|(2[0-4][0-9])|([0-1]?[0-9]?[0-9]))\.((25[0-5])|(2[0-4][0-9])|([0-1]?[0-9]?[0-9]))\.((25[0-5])|(2[0-4][0-9])|([0-1]?[0-9]?[0-9]))\.((25[0-5])|(2[0-4][0-9])|([0-1]?[0-9]?[0-9])))\])|(((25[0-5])|(2[0-4][0-9])|([0-1]?[0-9]?[0-9]))\.((25[0-5])|(2[0-4][0-9])|([0-1]?[0-9]?[0-9]))\.((25[0-5])|(2[0-4][0-9])|([0-1]?[0-9]?[0-9]))\.((25[0-5])|(2[0-4][0-9])|([0-1]?[0-9]?[0-9])))|((([A-Za-z0-9\-])+\.)+[A-Za-z\-]+))$/; if (value != '' && !regex.test(value) && !errFlag['email2']) { errFlag['email2'] = true; _qfMsg = _qfMsg + '\n - \"E-mail\" Geen geldig e-mailadres'; } value = ''; var els = 'length' in frm.elements['member_source']? frm.elements['member_source']: [ frm.elements['member_source'] ]; for (var i = 0; i < els.length; i++) { if (els[i].checked) { value = els[i].value; } } if (value == '' && !errFlag['member_source']) { errFlag['member_source'] = true; _qfMsg = _qfMsg + '\n - \"Hoe bent u geattendeerd op het NVC lidmaatschap?\" is verplicht'; } if (_qfMsg != '') { _qfMsg = 'Formulier kan niet worden verzonden:' + _qfMsg; _qfMsg = _qfMsg + '\nGelieve deze waarde aan te passen'; alert(_qfMsg); return false; } return true; } //]]> </script> <form action="/signup/" method="post" name="personaldata" id="personaldata" onsubmit="try { var myValidator = validate_personaldata; } catch(e) { return true; } return myValidator(this);"> <div> <table border="0"> <div class="check"><input type="text" value="" name="register-email" id="register-email" class="textfield" /> <label for="register-email">E-mail</label></div> <tr><td>De kosten voor het lidmaatschap vindt u hier. Hoeveel medewerkers heeft uw organisatie? <span style="color: #ff0000">*</span></td></tr><tr><td valign="top" align="left"> <select id="employees" name="employees"> <option value="0"></option> <option value="816"> 1 t/m 5 (&euro; 816,00)</option> <option value="1030"> 6 t/m 25 (&euro; 1.030,00)</option> <option value="1955">26 t/m 100 (&euro; 1.955,00)</option> <option value="3975">101 t/m 400 (&euro; 3.975,00)</option> <option value="5506">401 t/m 1000 (&euro; 5.506,00)</option> <option value="7112">1001 t/m 3000 (&euro; 7.112,00)</option> <option value="8688">3001 t/m 6000 (&euro; 8.688,00)</option> <option value="10946">6001 en meer (&euro; 10.946,00)</option> </select> <span id="contribution"></span></td> </tr></table><table> <tr><td>Het lidmaatschap gaat in op: <span style="color: #ff0000">*</span></td></tr><tr><td valign="top" align="left"> <select name="date[d]"> <option value="1" selected="selected">01</option> <option value="2">02</option> <option value="3">03</option> <option value="4">04</option> <option value="5">05</option> <option value="6">06</option> <option value="7">07</option> <option value="8">08</option> <option value="9">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select>-<select name="date[m]"> <option value="1">01</option> <option value="2">02</option> <option value="3">03</option> <option value="4">04</option> <option value="5" selected="selected">05</option> <option value="6">06</option> <option value="7">07</option> <option value="8">08</option> <option value="9">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> </select>-<select name="date[Y]"> <option value="2025" selected="selected">2025</option> <option value="2026">2026</option> </select>&nbsp; <span onmouseover="Tip('Het lidmaatschap wordt aangegaan voor de resterende maanden van het jaar van toetreding en het daaropvolgende kalenderjaar.');" onmouseout="UnTip()"><img src="/css/images/info.gif" width="16" height="16" alt="Informatie" /></span></td> </tr></table><h3>Gegevens bedrijf en contactpersoon</h3><table> <tr><td>Bedrijfsnaam <span style="color: #ff0000">*</span></td></tr><tr><td valign="top" align="left"> <input size="103" maxlength="255" class="textfield" name="company" type="text" /></td> </tr></table><table> <tr><td>Adres <span style="color: #ff0000">*</span></td><td>Postcode <span style="color: #ff0000">*</span></td></tr><tr><td valign="top" align="left"> <input size="53" maxlength="255" class="textfield" name="address" type="text" /></td> <td valign="top" align="left"> <input size="42" maxlength="50" class="textfield" name="zipcode" type="text" /></td> </tr></table><table> <tr><td>Plaats <span style="color: #ff0000">*</span></td></tr><tr><td valign="top" align="left"> <input size="103" maxlength="100" class="textfield" name="city" type="text" /></td> </tr></table><table> <tr><td>Land <span style="color: #ff0000">*</span></td></tr><tr><td valign="top" align="left"> <select name="country"> <option value="Andorra">Andorra</option> <option value="Verenigde Arabische Emiraten">Verenigde Arabische Emiraten</option> <option value="Afghanistan">Afghanistan</option> <option value="Antigua en Barbuda">Antigua en Barbuda</option> <option value="Albanië">Albanië</option> <option value="Armenië">Armenië</option> <option value="Angola">Angola</option> <option value="Antarctica">Antarctica</option> <option value="Argentinië">Argentinië</option> <option value="Oostenrijk">Oostenrijk</option> <option value="Australië">Australië</option> <option value="Aruba">Aruba</option> <option value="Azerbeidzjan">Azerbeidzjan</option> <option value="Bosnië-Herzegovina">Bosnië-Herzegovina</option> <option value="Barbados">Barbados</option> <option value="Bangladesh">Bangladesh</option> <option value="België">België</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Bulgarije">Bulgarije</option> <option value="Bahrein">Bahrein</option> <option value="Burundi">Burundi</option> <option value="Benin">Benin</option> <option value="Sint Barthélemy">Sint Barthélemy</option> <option value="Bermuda">Bermuda</option> <option value="Brunei">Brunei</option> <option value="Bolivia">Bolivia</option> <option value="Brazilië">Brazilië</option> <option value="Bahama's">Bahama's</option> <option value="Bhutan">Bhutan</option> <option value="Botswana">Botswana</option> <option value="Wit-Rusland">Wit-Rusland</option> <option value="Canada">Canada</option> <option value="Democratische Republiek Congo">Democratische Republiek Congo</option> <option value="Centraal-Afrikaanse Republiek">Centraal-Afrikaanse Republiek</option> <option value="Congo">Congo</option> <option value="Zwitserland">Zwitserland</option> <option value="Ivoorkust">Ivoorkust</option> <option value="Cookeilanden">Cookeilanden</option> <option value="Chili">Chili</option> <option value="Kameroen">Kameroen</option> <option value="China">China</option> <option value="Colombia">Colombia</option> <option value="Costa Rica">Costa Rica</option> <option value="Servië &amp; Montenegro">Servië & Montenegro</option> <option value="Cuba">Cuba</option> <option value="Kaapverdië">Kaapverdië</option> <option value="Curação">Curação</option> <option value="Christmaseiland">Christmaseiland</option> <option value="Cyprus">Cyprus</option> <option value="Tsjechië">Tsjechië</option> <option value="Duitsland">Duitsland</option> <option value="Djibouti">Djibouti</option> <option value="Denemarken">Denemarken</option> <option value="Dominica">Dominica</option> <option value="Dominicaanse Republiek">Dominicaanse Republiek</option> <option value="Algerije">Algerije</option> <option value="Ecuador">Ecuador</option> <option value="Estland">Estland</option> <option value="Egypte">Egypte</option> <option value="West-Sahara">West-Sahara</option> <option value="Eritrea">Eritrea</option> <option value="Spanje">Spanje</option> <option value="Ethiopië">Ethiopië</option> <option value="Europese Unie">Europese Unie</option> <option value="Finland">Finland</option> <option value="Fiji">Fiji</option> <option value="Falklandeilanden">Falklandeilanden</option> <option value="Micronesië">Micronesië</option> <option value="Faeröer">Faeröer</option> <option value="Frankrijk">Frankrijk</option> <option value="Gabon">Gabon</option> <option value="Groot-Brittannië">Groot-Brittannië</option> <option value="Grenada">Grenada</option> <option value="Georgië">Georgië</option> <option value="Frans-Guyana">Frans-Guyana</option> <option value="Guernsey">Guernsey</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Groenland">Groenland</option> <option value="Gambia">Gambia</option> <option value="Republiek Guinee">Republiek Guinee</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Equatoriaal-Guinea">Equatoriaal-Guinea</option> <option value="Griekenland">Griekenland</option> <option value="Guatemala">Guatemala</option> <option value="Guam">Guam</option> <option value="Guinee-Bissau">Guinee-Bissau</option> <option value="Guyana">Guyana</option> <option value="Hongkong (Xianggang)">Hongkong (Xianggang)</option> <option value="Honduras">Honduras</option> <option value="Kroatië">Kroatië</option> <option value="Haïti">Haïti</option> <option value="Hongarije">Hongarije</option> <option value="Indonesië">Indonesië</option> <option value="Ierland">Ierland</option> <option value="Israël">Israël</option> <option value="India">India</option> <option value="Irak">Irak</option> <option value="Iran">Iran</option> <option value="IJsland">IJsland</option> <option value="Italië">Italië</option> <option value="Jersey">Jersey</option> <option value="Jamaica">Jamaica</option> <option value="Jordanië">Jordanië</option> <option value="Japan">Japan</option> <option value="Kenya">Kenya</option> <option value="Kirgizië">Kirgizië</option> <option value="Cambodja">Cambodja</option> <option value="Kiribati">Kiribati</option> <option value="Comoren">Comoren</option> <option value="Sint Kitts en Nevis">Sint Kitts en Nevis</option> <option value="Zuid Korea">Zuid Korea</option> <option value="Koeweit">Koeweit</option> <option value="Kazachstan">Kazachstan</option> <option value="Laos">Laos</option> <option value="Libanon">Libanon</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Liberia">Liberia</option> <option value="Lesotho">Lesotho</option> <option value="Litouwen">Litouwen</option> <option value="Luxemburg">Luxemburg</option> <option value="Letland">Letland</option> <option value="Libië">Libië</option> <option value="Marokko">Marokko</option> <option value="Monaco">Monaco</option> <option value="Moldavië">Moldavië</option> <option value="Montenegro">Montenegro</option> <option value="Madagaskar">Madagaskar</option> <option value="Marshalleilanden">Marshalleilanden</option> <option value="Macedonië">Macedonië</option> <option value="Mali">Mali</option> <option value="Myanmar">Myanmar</option> <option value="Mongolië">Mongolië</option> <option value="Malta">Malta</option> <option value="Mauritius">Mauritius</option> <option value="Malawi">Malawi</option> <option value="Mexico">Mexico</option> <option value="Maleisië">Maleisië</option> <option value="Mozambique">Mozambique</option> <option value="Namibië">Namibië</option> <option value="Nieuw-Caledonië">Nieuw-Caledonië</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Nicaragua">Nicaragua</option> <option value="Nederland" selected="selected">Nederland</option> <option value="Noorwegen">Noorwegen</option> <option value="Nieuw-Zeeland">Nieuw-Zeeland</option> <option value="Oman">Oman</option> <option value="Panama">Panama</option> <option value="Peru">Peru</option> <option value="Frans Polynesië">Frans Polynesië</option> <option value="Papua Nieuw-Guinea">Papua Nieuw-Guinea</option> <option value="Filipijnen">Filipijnen</option> <option value="Pakistan">Pakistan</option> <option value="Polen">Polen</option> <option value="Portugal">Portugal</option> <option value="Paraguay">Paraguay</option> <option value="Qatar">Qatar</option> <option value="Roemenië">Roemenië</option> <option value="Servië">Servië</option> <option value="Rusland">Rusland</option> <option value="Rwanda">Rwanda</option> <option value="Saoedi-Arabië">Saoedi-Arabië</option> <option value="Soedan">Soedan</option> <option value="Zweden">Zweden</option> <option value="Singapore">Singapore</option> <option value="Sint Helena">Sint Helena</option> <option value="Slovenië">Slovenië</option> <option value="Slowakije">Slowakije</option> <option value="San Marino">San Marino</option> <option value="Senegal">Senegal</option> <option value="Somalië">Somalië</option> <option value="Suriname">Suriname</option> <option value="Zuid Soedan">Zuid Soedan</option> <option value="Sovjet Unie">Sovjet Unie</option> <option value="El Salvador">El Salvador</option> <option value="Sint Maarten">Sint Maarten</option> <option value="Syrië">Syrië</option> <option value="Swaziland">Swaziland</option> <option value="Tsjaad">Tsjaad</option> <option value="Togo">Togo</option> <option value="Thailand">Thailand</option> <option 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