Register First Name:* Surname* Date of Birth* Gender: BSN Telephone number* Street* House number* Zip Code* Town* Insurance Document*Max. file size: 512 MB.Upload here a photo of your AON complete insurance or EHIC card (the blue side!)E-mail address* Choose your pharmacy where you pick up your medication:* Pharmacy Hanzeplein Pharmacy Paddepoel Pharmacy Selwerd Pharmacy Diephuis Pharmacy Boterdiep Pharmacy De Wiljes Pharmacy Helpman Pharmacy Oosterpoort Pharmacy Venema Pharmacy Beijum Pharmacy Vinkhuizen NummerGeen titel