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Membership application

I would like to become a member of the association Mitgefühl in Aktion e.V.:

Title

First name and family name or company name and contact person

Street and house number

Zip code and Town

Country/State

Email

Telephone number

Date of birth

Please write us briefly something about yourself and why you would like to become a member:

If you would like to give more than 20,00 Euro per month membership fee, please enter an alternative amount here:

Bank transfer

If you prefer to give us a direct debit authorization, you should fill out the following form. The membership fees due will then be collected once a year by direct debit after prior notice. - I hereby authorize the association Mitgefühl in Aktion e.V. to debit my annual membership fee from account:

Account holder

IBAN (International Bank Account Number)

BIC/Swift/Name and Place of the Bank

I have read and agree to the statutes of Mitgefühl in Aktion e.V.! I agree with the inclusion of my email in the newsletter and internal membership list, but I can unsubscribe at any time:

DSGVO-konform. Es gilt die Datenschutzerklärung.

Hinweis: Bitte die mit * gekennzeichneten Felder ausfüllen.

Note: Please enter the data marked with *

If you still have questions, please write to:

[email protected]