Membership Declaration for the Carl-Schurz-Haus / DAI Freiburg e. V. Support Group

Membership Registration

Please note: This English version is provided for convenience only. Only the German version of the registration is legally binding.

Membership begins on the first day of the selected month. The membership fee is always paid for twelve calendar months from the month of entry. Membership is ongoing and can be terminated in writing at the end of the contribution year with four weeks’ notice.

Personal Details

Gender

Title

First Name

Last Name

Company

Street Address

Additional Address Details

ZIP Code, City

Country

Phone

Your Membership

Start of Membership

Type of Membership

Names of Family Members (for children, please include date of birth)

Date of Birth

Please send us proof of enrollment by email to info@csh-fr.de.

Please select your contribution amount (from €250).

Please select your contribution amount (from €500).

We appreciate your support! Membership fees are tax-deductible. For contributions and donations over €300, you will automatically receive a donation receipt from us.

How would you like to be informed about our program and other news from the Carl-Schurz-Haus?

Program Delivery

Newsletter

Payment Details

Membership is automatically renewed unless written notice of termination is given at least four weeks before the end of the membership year.

Account Holder

Bank

IBAN

BIC

SEPA Direct Debit Mandate

I authorize the Carl-Schurz-Haus / Deutsch-Amerikanisches Institut e. V. to collect payments from my bank account by direct debit. At the same time, I instruct my credit institution to honor the direct debits drawn on my account by the Carl-Schurz-Haus / Deutsch-Amerikanisches Institut e. V. Remark: I may request the reimbursement of the amount debited within eight weeks, starting from the debit date. In this connection, the conditions agreed upon with my credit institution shall apply.

Payment method: recurring
Creditor ID: DE11CSH00000017910
Mandate reference / membership number will be communicated subsequently by the Carl-Schurz-Haus

Data Protection and Statutes

You can read our statutes here.
The Carl-Schurz-Haus' GDPR can be found here.

Approval of Statutes

I have read the Carl-Schurz-Haus bylaws and agree to the statutes contained therein.

Data Protection Consent

I agree that the Carl-Schurz-Haus may store and process my personal data for administrative purposes. I have read and understood the GDPR of the Carl-Schurz-Haus.

Anything else you would like to let us know?