Membership form |

Name *

First

Last

Email *

Street No. *

Postal Code *

City *

Country *

Tel. No.. *

please enter number with no spaces or characters

Please indicate membership type: *

Individual (40 Euros)
Institutional (80 Euros)

*Payment per direct debit (Einzugsermächtigung)

I allow Eltas to debit the following bank account.

Account holder (Kontoinhaber):

IBAN:

BIC code:

Bank name:

I would like you to create a user account for the Eltas website so that I can log in to the Members Only area and have access to the Members Forums event handouts and newsletters. (Your details will not be made public).
I do not want you to create a user account for the Eltas website at this time. I will notify if I would like to do so in the future.

Eltas email contact *

I would like to receive emails from Eltas about events, job offers and relevant news for our members. (We do not share your information with anyone.)
I do not want you to send me any emails.

Comments:

Phone

*Eltas prefers direct debit, but alternatively, you can issue a bank transfer to the association’s account (Überweisung)

Eltas e.V.
Postbank Stuttgart
IBAN:DE47600100700297688703
SWIFT BIC: PBNK DEFF

If you prefer to transfer funds, please advise .

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Membership termination: Please note that a membership termination must be submitted in writing to the membership secretary/treasurer at at least 3 weeks prior to the end of the financial/annual year

_{ELTAS treats your personal data confidentially and in accordance with applicable data protection laws. We will not disclose your data to third parties and use it only for administering your membership in accordance with our Constitution. More details about our data protection policy.}

_{Information transferred is encrypted and secured via Let’s Encrypt’s SSL Web Server Certificate.}

Eltas e.V. Marco-Polo-Weg
70439 Stuttgart