Mitgliedschaft Förderverein


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Ihr Name (Pflichtfeld)

Ihr Vorname (Pflichtfeld)

Strasse / Hausnummer (Pflichtfeld)

PLZ (Pflichtfeld)

Wohnort (Pflichtfeld)

Ihre E-Mail-Adresse (Pflichtfeld)

Kontonummer

BLZ

Kontoinhaber (falls nicht identisch mit Antragsteller)

Mitgliedsbeitrag (min. 15,-- € / jährlich)

Der Beitrag soll jährlich von dem o.a. Konto eingezogen werden

Ihre Nachricht