Supporting membership

Note: this is an application for supporting membership. Supporting members are not invited to and do not have voting rights at general meetings. You can find more information on this in our statutes.

Application

I hereby apply for supporting membership of Wiederbelebung kulturellen Brachlandes e.V. (Revitalization of Cultural Wasteland).

Given Name:

Last Name:

My donation is € per Jahr.

Richte gern gleich einen Dauerauftrag ein ;)

IBAN: DE89 8705 0000 3700 0133 79
EmpfängerIn: Wiederbelebung kulturellen Brachlandes e.V
Betrag: siehe oben€
Betreff: Spende

Contact

E-Mail:

Street and House Number:

Zip Code:

City:

Privacy

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