Aufnahmeantrag




Дата канвертавання19.04.2016
Памер25.15 Kb.


Aufnahmeantrag



Last Name:




First Name:




Street:




Day of Birth:




ZIP:




City:




Telephone:




Telefax:




Homepage:




E-Mail:






Hereby I request the membership to the Club Felidae e.V. from the beginning date





[ ] Full Member [ ] Family Member [ ] Promotion Member

Is there an existing membership to any other breeder's club?



If yes, where?




Are registered there as a full member or promotional member? (Yes / No)






My cat races are:




[ ] New cattery name registration (min. 3 diff. Suggestions) [ ] Transfer existing cattery name to Felidae e.V.














Our current fees are:

Yearly fee full membership
€ 36,00
Pedigrees *
€ 13,00
Annual fee for full membership
€ 18,00
Pedigree reissue*
€ 10,00
Annual fee for promotional membership
€ 24,00
Championship document*
€ 4,00
Cattery name registration fee
€ 10,00
Webspace for HP / annual fee
€ 24,00
Transfer of cattery name
€ 5,00
* add € 2,00 for Shipping

[ ] I want to book webspace for my home page on the felidae's server

[ ] I agree to the publication of my data on www.felidae-ev.de.
Date: _________________ City: ___________________ Signature: _______________________________
Bank debit authorization
Hereby I grant Felidae e.V. the revocable authorization to debit from my bank account:


Bank name:




Account holder:




Account number:




Bank code:




IBAN:




BIC:





Date: _________________ City: ___________________ Signature: _______________________________



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