Member request to "Verein für frühe Mehrsprachigkeit
an Kindertageseinrichtungen und Schulen e.V"

Verein für frühe Mehrsprachigkeit an Kindertageseinrichtungen und Schulen FMKS e. V.
Steenbeker Weg 81 • D - 24106 Kiel • Tel. +49 431 389 04 79 • Fax: +49 321 21 24 14 88
Mail: fmks@fmks.eu • Web: www.fmks.eu

Organisation:
Partner:
Name: *
First name: *
Job:
Born: *
Road: *
Postcode*, city: * ,
Country: *
eMail:*
Phone:
Fax:

Authorization for the introduction of membership dues
Hereby I authorize completeannually to draw in the FMKS e.V. as follows membership dues indicated by me debited to my account with maturity by debit.
Membership dues: * Euro
Bank code number: *
Bank account no.: *
Credit institut: *
Owner of account: *

If the account does not exhibit necessary covering, no obligation exists for redemption on the part of the account-prominent credit institute (see above).

Those with one * marked fields must be filled out, otherwise the registration cannot be worked on.

I authorize the FMKS e.V. to store the data standing in connection with the membership. The regulations of the Federal Law for Data Protection remain unaffected.





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