Customer number (if available)

First name

Family name (Surname)

E-mail Address

Phone

Mailing address

Desired category Desired category *Category 1 | 86,- EURCategory 2 | 70,- EUR

Amount Amount *1 subscription2 subscriptions3 subscriptions4 subscriptions5 subscriptions6 subscriptions

If the category I want is no longer available, I would accept... If the category I want is no longer available, I would accept... any other category the next higher category the next lower category no other category

In addition, I would like to apply for the following membership (2 subscriptions 10% cheaper) In addition, I would like to apply for the following membership (2 subscriptions 10% cheaper) Regular membership (€ 75,-) Youth membership | up to 24 years of age (€ 10,-) Supporter (€ 500,-)

Date of birth

Additional remarks (e.g. I require a wheelchair space)

We process your data within the scope of the subscription order for the purpose of fulfilling the contract. In addition, we would like to inform you by e-mail about our own similar products or services (§ 174 Abs 4 TKG). We process your data within the scope of the subscription order for the purpose of fulfilling the contract. In addition, we would like to inform you by e-mail about our own similar products or services (§ 174 Abs 4 TKG). I do not wish to receive such information.

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