Confirmation of Membership Payment by money transfer

Confirmation of Membership Payment by money transfer

Union & Confederate Reenactors International,
völkerkundlicher Verein zur Nachstellung von
Militärgeschichte e.V.
(Ethnological Society for Re-enacting of Military History)
November2014):
2014
UCR Mail Office (Postal Address; Status: January
UCR e.V., c/o Ulrich
Sanft,
Am
Vogelgesang
7g,
D-65817
Eppstein,
GERMANY
Christian Ortschig, Bratringweg 36,
D-13583
Berlin,
Germany
Confirmation of Membership
I / We become a member of the UCR beginning with the .............................................. and accept the rules of the society.

(The annual subscription is
30 Euro for one reenactor and
Please mark where applicable) – Status: November 2013
 45 Euro for families or couples at the moment. Children up to 16 Years are included.
MEMBER/Name: _____________________________________ First name: ______________________________________
Mail-Address (Postal code/City/Street/House No): _____________________________________________________
Date/place of birth: ______________________________________ Fax/Mobile: ____________________________
Email: __________________________________________________ Phone: ______________________________
FAMILY 1/Name: ______________________________________ First name: ______________________________________
Date/place of birth: _________________________________ Email/Tel./Mobile: _____________________________
Use UCR-Service-Form for further family members.
The following details are of importance for the UCR to be on the safe side. Please mark where applicable:



I am an owner of a permit under § 27 of the law about using explosives.
I am an owner of a permit about the possession of firearms/ a firearms licence
I already have experience of using firearms / muzzle loader
I make the following statement and confirm with my signature:
The UCR is an ethnological society for reenacting of military history. Authenticity is the main requirement for a historical
performance. I intend to follow the rules about clothing, firearms and equipment and will get missing parts within a year. I am
aware that an authentic uniform costs between 800 EURO and 2000 EURO.
The use of firearms demands extreme caution. I am prepared to follow the demands of the organizers and the safety
regulations.
I have a personal liability insurance in case or damage to property or injury to persons or will take out one within the next three
weeks.
I am not a member of a party, organization or society whose intentions or conducts are directed against the free democratic
constitutional structure of the Federal Republic of Germany.
-------------------------------------------------------------------For persons under 16 years signature of legitimate representative
------------------------------------------------------------------Signature
Payment by money transfer - Recurrent Payments (SEPA Direct Debit Mandate)
Creditor identifier: DE06ZZZ00001296751 / Mandate reference: UCR-Mitgliedsnummer (first 9 signs)
--------------------------------------------------First name / Name of debtor (Account holder)
--------------------------------------------------------Street, Postal code and City, Country (Place of residence)
By signing this mandate form, you authorise Union & Confederate Reenactors International, völkerkundlicher Verein zur Nachstellung von
Militärgeschichte e.V., to send instructions to your bank to debit your account and your bank to debit your account in accordance with the instructions from
Union & Confederate Reenactors International, völkerkundlicher Verein zur Nachstellung von Militärgeschichte e.V. As part of your rights, you are entitled
to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimend within 8 weeks starting from the
date on which your account was debited. This statement is valid until revoked or till a written notice of resignation will be sent to the committee of the UCR.
-------------------------------------------------Location, Date
-------------------------------------------------------Signature