Membership Application

Please fill out an own member request per person / family member for the correct collection of the personal data. The membership is unlimited (therefore it's not necessary to renew it every year). It starts retroactively at the beginning of the year of the membership request and covers all society's publications of the whole year.

Surname, First name*:

Street*:

Zip / Postal code, City*:

Country*:

Date of birth* (age of 18 required)**:

Phone number:

Email address:

* Fields must be filled in
** Young persons (under 18) have to use the print form because
the sign of a parent is needed

I wish to appear in the private membership list available to Origami Deutschland members only:

yes
no

Junior (open under the age of 18):

Euro 15,-      

Ordinary:

Euro 25,-

Family (entitles only to one copy of the society's magazine):

Euro 30,-

In the case you own a bank account at a german "Bank" or "Sparkasse" please transfer membership fees to Kasseler Sparkasse:

Otherwise choose option of Money Order or Cheque.

Automatic Bank Debit (see below):

Money Order or Cheque (see below):

Authorization for Automatic Bank Debit of Membership Fees:

Due to technical reasons a secure transmission of data is not possible. If you will not accept a non-secure transmission please use the print-form for postal membership application.

Account Holder:

Account Number:

Bank Code:

Bank:

Bank remittance from outside of Germany:

The membership fees should be paid up to the end of January of the respective calendar year to the bank account of Origami Deutschland. For payments coming from abroad there are possibly bank charges which must be added (banking fee regulation "OUR"). For money transfers from EU countries please indicate the following codes to avoid bank charges:

IBAN:

DE74 5205 0353 0011 8071 95

SWIFT-BIC:

HELADEF1KAS

I agree to abide by the rules of the society: