Application for Membership in the Atlantische Akademie Rheinland-Pfalz e.V.

Dear Ladies and Gentlemen,

Thank you for your interest in a membership with the Atlantic Academy Rhineland-Palatinate. T complete the application please fill out all fields marked with an asterisk (*).

The membership fee is due by March 1 of every year or four weeks after your application has been confirmed, respectively (if you were admitted before September 30).

Your admission to membership can only be considered if you give us a grant of SEPA direct debit mandate for the membership fee.

By signing this mandate form, you authorize the “Atlantische Akademie Rheinland-Pfalz e.V.” to send instructions to your bank to debit your account in accordance with the instructions from the “Atlantische Akademie Rheinland-Pfalz e.V.”

This SEPA direct debit mandate is authorized for annual payments.

You may request that the payment is refunded within eight weeks of the debit date. The terms and conditions of your bank apply.

Membership Application

Personal Information
As a representative of an association please fill in the following fields:
SEPA direct debit
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