Membership Application - NaturEnergie Region Hannover eG

NaturEnergie Region Hannover eG

Digital Membership Application

I hereby declare my membership in NaturEnergie Region Hannover eG.

Personal Data

Salutation

First Name

Last Name

Date of Birth

Tax ID

Legal Representative

Address

Street

House Number

Postal Code

City

Phone

Email Address

Participation

Number of Shares

at 2,000 € each

Total Amount

€

This is an increase of existing shares

Purpose

Private

Business

Bank Details (Bank Details for Payouts)

Account Holder

Bank Name

IBAN

BIC

Payment Method

Bank Transfer - You transfer the amount to our account yourself.:

Raiffeisen Volksbank Neustadt eG: DE28 2506 9262 0020 5397 00
Sparkasse Hannover: DE56 2505 0180 0900 3638 60
Hannoversche Volksbank eG: DE16 2519 0001 0610 3235 00

Direct Debit - The amount will be debited from your account.:

Consents

I consent to the processing of my personal data in accordance with the privacy policy.

I agree to electronic communication.

I have read and accept the statutes of the cooperative.

Signature

Place

Date

Your Signature

Please sign with mouse or finger in the field below.

By submitting, you confirm the accuracy of your information.