Application to become a member

 Applicant:

 

Salutation:

Title:

First name:

Last name:

Nationality:

Place of birth:

Birthday:

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Private adress:

Road:

Zip code:

Place:

Phone:

E-mail:


Business adress:

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Road:

Zip code:

Place:

Phone:

E-mail:

Business:


Details:

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Job Function:

E-mail to:

Post to:

Photo:

Questions:

Are you currently a JCI member or have you been an a JCI member in the past?
How did you become aware of the association "JCI Berlin International"?Wie wurden Sie auf den Verein "JCI Berlin International" aufmerksam? *
Have you already participated in events? If yes, which ones?
What do you expect from us"JCI Berlin International"? *
What could your active contribution to the association "JCI Berlin International" look like?


I am particularly interested in the following topics:
Newsletter


A S E S S M E N T A T I O N

I apply for membership of the association "JCI Berlin International". After approximately half a year from the date of application, the Board of Directors will decide whether to admit me as a full member and will inform me of its decision in writing. I will only provide my personal data for the membership database and for the printing of a membership directory.In the event of admission after six months, I authorise the association "JCI Berlin International" to collect the fee annually from the following account:Account holder:
IBAN:
Bank:
BIC:
Your data will be treated confidentially and will not be passed on to third parties.
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