Join now! - Hertha BSC

Transcription

Join now! - Hertha BSC
MEMBERSHIP APPLY
HERTHA BSC
first name
last name
postal code
city
street, number
phone
date of birth
e-mail (for the members-newsletter)
I apply for the membership in the department
football
boxing
table tennis
skittles
6 - 13 years
14 - 17 years
Information:
Hertha BSC’s membership fees are extremely affordable: Children up to age 6 receive a free membership. Children between 6 and 13
years old pay only €2.50/month (annual membership €30). Youths aged 14 to 17 pay only €3.50/month (annual membership €42). Adults
pay only €7/month (annual membership €84) and retired persons are entitled to a discount and pay €5/month (annual membership €60).
phone: +49 30 300 928 521 / fax: +49 30 300 928 57
I agree to participate in the club’s direct debt procedure until
such time as I cancel it. Likewise, I hereby authorize Hertha
BSC to collect the membership dues
quarterly
twice a year
once a year
recruited by
membership number
from my
city
IBAN
date
BIC
signature*
bank, country
account holder
*personal signature/conformation of debit advice procedure
(minors need their signature of the legal guardians)
VR-BankCard
Become a new member of Hertha BSC and receive a 30,00€
shopping voucher. As a new member, just apply for the Hertha BSC-bankcard at
Berliner Volksbank and claim your voucher today!
Frank Flanke
Konto -Nr.
1234567890
Gültig bis
Karten-Nr.
2017 654321000