| Aufnahmeformular |
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TG Jugenddorf Salzgitter e. V. |
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Schlehenweg 6, 38226 Salzgitter |
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Telefon 05341/45561 |
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| Ich bitte um die Aufnahme in die TG Jugenddorf Salzgitter e. V. als aktivesMitglied. |
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| Ich erkenne die aktuelle Satzung des Vereins an. |
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| Gewünschte Sparten/Abteilungen bitte ankreuzen: |
Tauchsport / Sepia |
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American Football |
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Trampolin |
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Wirbelsäulengymnastik |
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aktives Mitglied |
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Mutter-Kind-Turnen |
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Walking |
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Seniorensport |
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Faustball |
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passives Mitglied |
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Gymnastik |
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Indoor-Fliegen |
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Kinderturnen |
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Ballsport Herren |
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Handball Kinder |
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| 1. |
Beantragte Mitgliedschaft mit Wirkung vom: |
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Name: |
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Vorname: |
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weibl. |
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männl. |
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geb. am: |
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in |
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Straße: |
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PLZ/Wohnort: |
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Telefon/Handy: |
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E-Mail: |
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| 2. |
Beitragszahler –bei Minderjährigen der Erziehungsberechtigte. (Nur auszufüllen bei Abweichung zu 1.) |
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Name: |
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Vorname: |
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Straße: |
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PLZ / Wohnort: |
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Sind weitere Familienangehörige Mitglied in der TG Jugenddorf? ja / nein |
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Abteilung: |
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SEPA-Lastschriftmandat |
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Gläubiger ID: DE57ZZZ00000196435 |
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jährlich |
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halbjährlich |
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vierteljährlich |
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Ich bin damit einverstanden, dass der zu entrichtende Beitrag vom nachstehenden Konto eingezogen wird.: |
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Name des Kontoinhabers: |
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Vorname: |
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Bank/ Sparkasse/ Postgiro: |
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Iban: |
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BIC : |
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Salzgitter, den |
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(Unterschrift des Antragstellers/ ges. Vertr.) |
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(Unterschrift des Kontoinhabers) |
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