Personal data

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Place of birth

First name*

Last Name*

Address*

Additional address

Street*

City*

PLZ*

Country*

E-mail*

Phone No*

Nationality

Language

Job

Married couple information

First name*

Last Name*

E-mail*

Phone No*

Nationality

Language

Job

Parents information

First name*

Last Name*

E-mail*

Phone No*

Nationality

Language

Job

Payment method*

SEPA

Account information*

Account owner* Account owner name must be at least 3 characters long

IBAN* Please enter valid IBAN number

Other information

How would you like to pay?

Per month

Yearly

I agree to the following, monthly contribution

Rule Post (Current 10 € Per month)

Increased membership fee 10 €

€

I agree to the following, monthly contribution

Rule Post (Current 120 € Annual)

Increased membership fee 120 €

€

Date of payment

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Additional Information

Would you like to volunteer?

YES

What qualifications do you bring? What can you best support us with?

Would you like to tell us anything else?

How did you hear about us ?

Are you accepting the transaction cost ?

I (the Member) hereby accept the costs of the transaction, so that Begegnungs- und Bildungszentrum Düsseldorf e.V. will not be charged..

Please click the checkbox to confirm the direct debit procedure

I hereby confirm the validity of my contact and account details as well as sufficient account coverage. I would like the payment by electronic direct debit and commission Begegnungs- und Bildungszentrum Düsseldorf e.V. until canceled with the deduction of the monthly donations from my account.

I hereby certify that I have never been a member of a banned organization that I am 18 years old and have read and accepted the use and privacy policy of "Verein".