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Antragformular Vollmitgliedschaft (full membership application)
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Email *
Vorname + Nachname (legal first name + surname) *
bevorzugter Name (preferred name)
Geschlecht nach eigener Identifikation/bevorzugte Pronomen (self-identified gender/preferred pronouns) *
Geburtsdatum (date of birth) *
MM
/
DD
/
YYYY
Nationalität (nationality) *
E-Mail-Adresse (e-mail address) *
Telefonnummer (phone number)
*
Required
*
Required
Bankverbindung (bank account):
Kontoinhaber: Eva Maria Ortner
IBAN: AT39 1200 0100 3046 1593
BIC: BKAUATWW
Zahlungsgrund (Reason for payment): "MB - Name"

or via paypal to: vienna.vanguards@gmail.com
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