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Home » Stille Levens BLAW Event » Inschrijven Hartsvrienden Event

Inschrijving BLAW Hartsvrienden Event

12 oktober 2025

Een samenzijn vol kracht, verbinding en hoop. Een middag met prachtige bijdragen van Johan Maes, Siets Bakker, Anja Dalhuisen & Ad Hofsink en Karin Bloemen.

Je schrijft je via onderstaand formulier in als Hartsvriend van Stille Levens en neemt gratis deel aan het BLAW Event. Met jouw jaarlijkse bijdrage steun jij Stille Levens in haar missie.

Wil je wel naar het event, maar niet jaarlijks bijdragen als Hartsvriend? Dan kun je ook een los ticket bestellen via onderstaande knop.

Losse tickets, zonder voordelen Hartsvrienden

Naam(Vereist)

Voornaam Achternaam

Adres(Vereist)

Straat + huisnummer Postcode Woonplaats

E-mailadres(Vereist)

Telefoonnummer

Ik ben ouder van(Vereist)

Geboortedatum van jouw baby(Vereist)

Extra informatie (bijvoorbeeld een extra naam en geboortedatum)

Mijn Hartsvrienden-welkomstcadeau (zie foto's onderaan deze pagina)

Stille Levens Pin

Stille Levens Sleutelhanger

Ik ontvang graag de Hartsvrienden nieuwsbrief van Stille Levens

Ja, ik ontvang graag de nieuwsbrief (maximaal 4x per jaar)

Mijn jaarlijkse bijdrage als Hartsvriend

Totaal

Betaalmethode

Onze privacyverklaring
Voorwaarden Hartsvrienden

Sleutelhanger

Sleutelhanger

Pin / Broche

Pin / Broche