Name: __________________________ 

Firstname: _______________________ 

Street: ________________________________________________ 

Zipcode: ________   Town ______________________ 

Date of birth:__________ 

Country _________________________

Tel: ______________________________ 

Fax: _________________________ 

E-Mail: _________________________

Homepage: ________________________ 
 

I want to join the club as

(   )  ordenary european member  80 DM  per year (40 US$ ) 
(   )  ordenary non european member 80 DM  per year (40 US$ ) 
(   )  non ordenary member  40 DM / year, (20 US$) for Studenten 
(   ) Supportmember   200 DM or more/year,  (100 US-$) for companies and     others

I accept that the board of directors will decide about my application. The personal data will only be stored for the club business and will not be given to third parties for comercial use.