النماذج

تعبئة النماذج عبر الإنترنت

Fördermitgliedsantrag

املأ النموذج وأرسله عبر الإنترنت

Membership Form

املأ النموذج وأرسله عبر الإنترنت

Patenschaftsformular

املأ النموذج وأرسله عبر الإنترنت

Child Sponsorship Form

املأ النموذج وأرسله عبر الإنترنت

← All forms

Membership Form

1. Personal information

First name * Last name * Date of birth * Street and house number * Postal code and place of residence * Country * Phone number * E-mail address *

2. Type of membership

Type of membership * Supporting member

Desired start of membership *

3. Membership fee (€5 per month)

Desired standing order * Monthly: €5 Quarterly: €15 Annual: €60

Method of payment * Bank transfer (standing order)

4. Motivation and commitment

Why do you want to become a member of HCI?

5. Declarations and consents

I hereby apply for membership in HCI and accept the applicable statutes and the terms and conditions of membership of the organization. * I confirm that my information is complete and correct. * Privacy notice: I agree that HCI may store my personal data (name, address, e-mail address and telephone number) electronically. My data will not be passed on to third parties. I can revoke my consent at any time. * City *

* Required. Date and time of submission are recorded automatically and replace the handwritten signature.