Online Declaration of Membership

Type of membership

I hereby apply for membership in the association "Vereinigung der Freunde und Förderer des GFZ Potsdam e.V." (GFZ Friends) as a

Friend

Individual: 30 €

Couple / family: 40 €

PhD student / student / apprentice / pupil: 15 €

Legal entity: 100 € (1000 € lifetime contribution)

Sponsor

Individual: from 200 €

Company / legal entity: from 500 €

Note: If you accidentally clicked on a friends option but actually wanted to become a sponsor, please reload the page, to have that choice available again.

Note: If you accidentally clicked on a sponsor option but actually wanted to become a friend, please reload the page, to have that choice available again.

Personal data

Title

Last Name*

First Name*

Date of birth*

Company/ Institution

Speciality area

Street*

Postcode*

Place*

Phone

Email*

SEPA Direct Debit Mandate

SEPA Direct Debit Mandate for Creditor Identifier: DE61ZZZ00000634318*

I herewith authorize the association "Vereinigung der Freunde und Förderer des GFZ Potsdam e.V." to collect yearly payments from my account by direct debit.

At the same time, I instruct my bank to honour the direct debits deducted from my account by the association "Vereinigung der Freunde und Förderer des GFZ Potsdam e.V.".

Account holder (if different from the name)

Bank (name)*

IBAN*

BIC*

* Mandatory fields

Don't fill this field!

* Mandatory field (this personal data is required and stored for member and contribution management)

In the case of direct debit authorisation, the name and bank details are passed on to the finance department of the GFZ Helmholtz Centre for Geosciences for the purpose of contribution administration. The GFZ Helmholtz Centre for Geosciences is a processor within the meaning of Article 28 GDPR.
Data will not be passed on to other third parties.