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First name(s)

Surname

Date of Birth

Street name

Street number

Postal code

City

Country of birth

Phone

E-Mail

Join as

Full member: membership fee • possibility to vote at the general meeting of members • insurance coverage

Associated member: • no membership fee • invitation to the general meeting of members but without voting rights • insurance coverage

SEPA direct debit mandate - for donations and membership fees (if desired)

Since 01.01.2022 the monthly fee as a member is 5,00 Euro. As an associate member no fee is due.

SEPA Direct Debit Mandate

I (we) authorize the Human Aid Collective e. V. to collect payments from my / our account by direct debit. Recipient of a payment: I am aware that I can demand reimbursement of the debited amount within eight weeks, beginning with the debit date. If the account is held by a different account holder, I hereby confirm at the same time that I am authorized to issue the SEPA direct debit mandate on behalf of the different account holder.

IBAN

Fee in EUR

Payment method

annually

half-yearly

quarterly

monthly

once

Broadcast list per WhatsApp

Yes, I subscribe to the broadcast list • What does this mean? To send information to our members we use the broadcast list function of WhatsApp. From time to time you will receive short information about help requests, actual actions and events. This is how you register: Please save our mobile number 0173 7038209 in your address book, e.g. under "Human Aid Collective". Then send us a message via WhatsApp with the text "Please add to broadcast list - your first name, last name"

Newsletter

Yes, please send per Mail

No, I don't want information

Please confirm

I have received, read and understood the statute and the contribution rules of the association.

Privacy

Yes, I accept the data protection regulation ("Datenschutzerklärung").

Es gilt die Datenschutzerklärung.

Hinweis: Bitte die mit * gekennzeichneten Felder ausfüllen.

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