Binding application for membership with ETHOS 

Hereby I enter ETHOS e.V.!

The articles from January 3rd 2008 I accept!

Name:

Forname:

Date of birth:

Street:

Zipcode:

City:

Telephone:

email:

Country:

Bank connection, from where the amount will be collected annually:

SWIFT:

Account (IBAN):

Member status::

Bank:

With this I emporer revocable, the payment for yearly membership-fee at the ETHOS e.V. - plenum agrees amount of acutal time 36 € / 6 € contribution (see §7 of articles) / minimum 5 € aid contribution at anniversary date account of my bank giro account by debit to collect for yearly membership payment.

Bank code:

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 ETHOS e.V., Am Gecksbach 80, 46286 Dorsten, GERMANY 

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