JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Formulaire de souscription de parts de la coopérative WattArdenne SCRL FS
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
J'accepte que les convocations aux Assemblées générales me soient transmises par cet e-mail (si cette case n'est pas remplie, les convocations seront envoyée par voie postale)
Prénom NOM
*
Your answer
Date de naissance
*
MM
/
DD
/
YYYY
Nationalité
*
Belge
Non belge
Autre Nationalité si Non Belge
Your answer
Numéro de registre national
Your answer
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
