Application form

Page 1What you fill in

• Name, date of birth, email
• Address with postcode and town
• Type of membership: active, supporting or honorary
• Supporting members: your annual fee (at least €60)

DeclarationMembership

You apply for membership of Bremens erster Klub kulturinteressierter Studierender e. V. By signing, you accept the statutes and the fee rules in their current version.

DeclarationConsent to data processing

You agree that the personal data in the form (in particular name, contact details, bank details and type of membership) are processed and stored to manage your membership, in line with the GDPR.

Your data are only passed on to third parties where required by law or to run the membership (for example the bank, to collect fees).

You can withdraw this consent at any time with effect for the future.

Page 2 · optionalSEPA direct debit mandate

For supporting members who want their fee collected automatically. You give the account holder, address, bank, IBAN and BIC. The mandate reference is your membership number, assigned by the association.

You can request a refund within eight weeks of the debit date. Your bank’s terms apply.

ThenHand it in

Drop the signed form off at the Lui or post it to BeKkS e. V., Luisental 29, 28359 Bremen. Questions to cafe-lui@luisental.org.