gender malefemalediv
first name
Surname
Date of birth
Street and house number
address supplement
Zip code
Residence
Country
Phone
Mobile
E-mail
Shipping method for magazine "Die Orchidee" (full members only) MailPDF
Preferred contact E-MailMail
membership GermanyEuropeWorld
attached member
of full member:
Trainee/Student
Please e-mail document to dog@orchidee.de
Start of membership: 01.01.20
Signature (with pointing device like mouse, pen or finger):
SEPA direct debit mandate for the Deutsche Orchideen-Gesellschaft e.V. (D.O.G.)
I hereby authorize the D.O.G. to collect the membership fee according to the SEPA basic procedure until revoked starting with the year:
20
Account owner:
Bank:
IBAN:
BIC:
Date:
For the purposes of club administration, I give my consent to the electronic storage and processing of my personal data. The personal data collected in the declaration of membership, in particular name, address, date of birth and bank details, are necessary and required solely for the purpose of carrying out the membership relationship and are collected on the basis of legal authorization.
I have read the statutes and the contribution regulations and agree to them. With my signature I accept the statutes of the association.
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