Contact form Meerhoven Hartveilig

Contact form Meerhoven Hartveilig
You can use this form to indicate your interests in the Meerhoven Hartveilig initiative. Fields with an asterisk are required. After submitting the form, you will receive a confirmation within a few minutes at the email address you provided. Did you not receive this confirmation? Then it is probably wrongly marked as junk e-mail. In that case, check the spam folder of your mailbox.

After receiving your information, we will contact you as soon as possible. For more information, visit

Salutation *
Enter your e-mail address
Repeat your e-mail address for verification
Are you certified?
Are you registered at HartslagNu?
Interests (several choices are possible)