| ESG - Europäische Spielesammler Gilde e.V. / European Society of Game-Collectors |
|
To become a member
(please send the fully printed copy to the adress at
the bottom)
Name :
_________________________________________
First name :
_________________________________________
Date of birth :
_________________________________________
Residence :
_________________________________________
Street, No. :
_________________________________________
Phone :
_________________________________________
e-mail:
_________________________________________
Games I collect :
_________________________________________
Will become a member of the ESG as of (date) ....................
He/She accepts the statutes and allows the electronical handling of data.
Notice has to be in written form at the end of the year.
.....................................................................
Signature
The yearly membership costs is €30. It is to pay after the admission
proportinal for the first year and in the following years at the beginning.
Members with an account in germany can use the following bank direct debit.
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Einzugsermächtigung
Hiermit ermächtige ich die ESG e.V. widerruflich den
satzungsgemäßen Mitgliedsbeitrag für mich:
Name, Vorname:
________________________________
Geb.Datum:
________________________________
bei Fälligkeit zu Lasten meines Kontos
Bank:
________________________________
BLZ:
________________________________
KontoNr.:
________________________________
jährlich, mittels Lastschrift einzuziehen.
..............................., den ................................
..............................................
(Ort)
(Datum)
(Unterschrift)
Bankverbindung der ESG: Kreissparkasse
Euskirchen (BLZ: 38250110) KtoNr. 1038108
Postanschrift ESG: Rainer Schiefer,
Nemmenicher Str. 20, 53909 Zülpich
To download the document (click right button)
