CAVERHILL GUARDIANS E.V.
PIPES & DRUMS     
HARDT

Application of membership

active member   O         passive member   O       

and recognize the club regulations which can be looked into at any time at the board of directors.

Name________________       Firstname _____________________________

Street________________________________________________________

Zip_____________       City ________________________________________

Date of birth ________________        Signature _____________________

email____________@____________ 

For minors one of the parents has to sign

______________________________

 * Info service will receive regulary our flyers concerning all events of the club.

Bank Data

We will charge to your bank account the membership fee yearly. The fee is 10 € for active or passive membership.  

account holder ________________________       account number ___________

BLZ _________        name of Bank __________________________

Date___________       Signature _______________________________
You may terminate the permission to charge your bank account at any time. It will end automatically when membership is ended.

Please print and send to the following adress: Sabine Grimmig-Haga Schliefenbühl 77 78144 Tennenbronn