CAS Onlineform

DGAF Membership*

Forms of Address*

Title

max. of 30 characters permitted

First name*

max. of 50 characters permitted

Name*

max. of 100 characters permitted

Birthday (dd.mm.yyyy)*

MM/dd/yyyy

Street (private)

max. of 50 characters permitted

Postal code (private)

max. of 15 characters permitted

Town/City (private)

max. of 50 characters permitted

Country (Private)

max. of 2 characters permitted

Organization*

max. of 255 characters permitted

Department

max. of 255 characters permitted

Street (business)*

max. of 50 characters permitted

Postal code (business)*

max. of 15 characters permitted

Town/City (business)*

max. of 50 characters permitted

Country (Business)

max. of 2 characters permitted

Phone (business)*

max. of 30 characters permitted

Phone (private)

max. of 30 characters permitted

Phone (mobile)

max. of 30 characters permitted

E-mail (office)*

max. of 100 characters permitted

E-mail (private)

max. of 100 characters permitted

Ich ermächtige die DGAF den Mitgliedsbeitrag von meinem Konto einzuziehen.

Direct debit

Account holder

max. of 60 characters permitted

IBAN

max. of 42 characters permitted

BIC

max. of 12 characters permitted

Credit institution

max. of 100 characters permitted

I accept the privacy policy statement.

Datenschutz*