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Schtzenverein
Kreepen-Brammer e.V.
EMBED Paint.Picture
Eintrittserklrung
Hiermit erklre ich meinen Eintritt als Mitglied in den Schtzenverein Kreepen-Brammer e.V.
_____________________ ______________________
Name Vorname
_____________________ _____ ______________
Strae Hausnr. Geburtsort
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PLZ Ort
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Geb.-Datum Unterschrift Erziehungsberechtigter (bei Jugendlichen unter 18 Jahren)
____________ ______________
Telefon Handy
____________________ X _________________________________________
Datum Unterschrift
Einzugsermchtigung:
Ich ermchtige den Schtzenverein Kreepen-Brammer e.V. die knftigen Jahresbeitrge, von meinem Bankkonto ber Lastschriftverfahren einzuziehen.
Kto-Nr.: _____________________________ Bankleitzahl: _________________________________
Geldinstitut: ____________________________________________________________________________
____________________ X______________________________________
Datum Unterschrift
Schtzenverein Kreepen-Brammer e.V.
1.Vorsitzender: Tobias Labbus, OT Brammer, Brammer Dorfstrae 6, 27308 Kirchlinteln 01/10
Bankverbindung: Kreissparkasse Verden, Kto.-Nr. 190 049 69, BLZ 291 526 70
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