Oesterreichischer Alpenverein
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MITGLIEDWERDEN
YES, I would like to become a member!
Type of membership: Junior (age 19 to 25, Student to 27).
Annual Fee: 36,50 Euro.
This application goes to mitglied.werden@alpenverein.at
For students, documentary evidence of your student status must be show.


SURNAME [FAMILY NAME]*:


FORENAME(S)*:


TITLE:


DATE OF BIRTH (DD.MM.YYYY)*:


Good reasons for becoming a member*:


COUNTRY OF RESIDENCE* - POSTCODE / PLZ / ZIP*:
-

TOWN OF RESIDENCE*:


STREET + NUMBER*:


TELEPHONE NUMBER(S):


E-MAIL ADDRESS:


SEX: MALE FEMALE

You have the option of choosing a particular section of the club.
If you do not wish to choose a section yourself and you leave this entry blank, you will be assigned to the section nearest your town of residence.


And/Or type in the appropriate town or district:


PAYMENT OPTION 1: Einziehungsauftrag (Standing Order with bank)
(this is only possible if you are resident in Austria) 

with Einziehungsauftrag (Standing Order)

NAME OF BANK:


BANK CODE (BLZ):


ACOUNT NUMBER (Kontonummer):


Yes, I authorise the Oesterreichischen Alpenverein to transfer my membership fee from my account until further notice.
(this is only possible for accounts within Austria)

PAYMENT OPTION 2: Bank transfer by Payment Transfer Slip
with Payment Slip

I undertake that in the event of my leaving the Alpine Club, I will pay the full fee for the year concerned (article 6 of the rules). Notice of leaving must be submitted by latest 31. October of the year concerned (the year at the end of which I am leaving the club).

 
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Oesterreichischer Alpenverein, Olympiastraße 37, A-6020 Innsbruck (Lageplan)
Tel.: +43-512-59547, Fax: +43-512-575528
ZVR-Zahl 989190235
office@alpenverein.at



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