ESG - Europäische Spielesammler Gilde e.V.   /  European Society of Game-Collectors

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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)