#become member

Welcome! Here you can easily fill out your membership application for the association “Wissenschaft für Demokratie – Wir für Dich e.V.” Your data will be treated confidentially and used exclusively for membership administration.

Personal details

Salutation *

First name *

Last name *

Data of birth (DD.MM.YYYY) *

Street *

No. *

Postal code *

City *

Country

Email address *

Mobile number (optional)

Membership type

Regular membership

Reduced membership

Supporting membership for private individuals

Supporting membership for institutions, organizations, companies

Regular membership - €120.00 annual fee

Reduced membership - €60.00 annual fee - students, trainees, pensioners, etc.

Supporting membership for private individuals - minimum contribution €10.00/year

Supporting membership for institutions, organizations, companies – minimum contribution $300.00/year

If you choose a supporting membership, please enter your individual annual contribution:

Contribution in €:

ONLY FOR SUPPORTING MEMBERSHIP

Payment method (direct debit only)

Please provide your bank details:

Account holder *

IBAN *

BIC *

Institution *

I authorize the association “Wissenschaft für Demokratie – Wir für Dich e.V.” to collect the annual membership fee from my account via SEPA direct debit. At the same time, I instruct my bank to honor the direct debits drawn on my account by the association.

Data protection and consent

I agree that the data I have provided may be stored and processed electronically for the purposes of member administration. It will not be passed on to third parties. Further information on data protection can be found in our privacy policy.

Confirmation

I hereby confirm my binding membership of the association „Wissenschaft für Demokratie – Wir für Dich e.V.“

I have read and accept the privacy policy.

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