Register for membership

If you want to be a member of the D.S.S.A, please be so kind to fill the membership form. After receiving all documents we inform you about the further procedure."

Company

Firstname / Last name *: Company / number of personel *: Address *: Zip code / city *: Visitor address *: Zip code / city *: Telephone * / GSM / Fax: E-mailaddress *: Website: Number Kvk *: Tax number *:

Bank information

Name bank / Accountnumber *: BIC / IBAN number account *:

Does your company own an ISO certificate ? *: Yes No Does your company comply with and are your familiar with the International
Ship and Port facility Security code (I.S.P.S.)? *: Yes No Since when is your company active in the shipping supply industry
and are there any relations with ship suppliers? *: In which category is your company active? *: General ship Supplier Technisch Ship Supplier Producent Logistiek Dienstverlening Proviand Ship Supplier Bonded Stores Supplier Groothandel Agentuur Anders nl. Does your company have relations with other NVVS members? *: Yes No If Yes, which? : Short description for reason
of request *: Please add a KvK copy (not older then 1 year): Please add a copy of the I.S.O certificate: Please add a brochure of your company:

City / Date *: E-mail / Function *: