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MEMBERSHIP APPLICATION

Name:

would like the following membership:

Individual members

 

Partner membership
 Up to 40 years 350,- Euro Over 40 years 450,- Euro No Partner membership

 

Legal entities
 of 725,- Euro (individual arrangements possible) No legal entities

 
Date of birth
Name of partner
Company (with membership)
Address
Postcode and City
Phone number
E-Mail

Bevorzugte Sprache / Preferred Language  Deutsch English

 I/We agree to have the donation deducted directly from the following bank account:
Name
Name of Bank
IBAN
BIC

Our account
Name: Account of KW-Friends, Bank: Commerzbank Berlin, IBAN: DE73 100 800 00 0944 668001, BIC: DRESDEFF100