Membership Application

Wir nehmen den Schutz Ihrer Daten ernst: Privacy Policy.

Please fill out the form and click on "get form as email to print". You will receive an email that you can print, sign, and fax it to your desired chapter or send it via postal service. We need your signature to proceed your application. Thank you for your understanding.
 

Your private information

Title:

First Name:

Last Name:

Nationality:

Private Phone:

Your business information

Company:

Industry:

Job Title:

Street & No.:

ZIP, City:

Business Phone:

Fax:

E-Mail:

Please specify how you whish to receive AGBC information:

E-Mail Fax

 

Membership Type:

Corporate **(€ 150/200 p.a.) Individual **(€ 75 p.a.)

** These are recommended membership dues. They may vary from chapter to chapter.

 

Yes,

I would like to help in AGBC work. Please add me to the open task mailing list.

 

Yes,

I would like my information published in the AGBC Business Directory

 

Privacy Policy

Ich habe die Datenschutzerklärung zur Kenntnis genommen. Ich bin damit einverstanden, dass meine Angaben und Daten zur Beantwortung meiner Anfrage elektronisch erhoben und gespeichert werden.

 

I wish to be a member of the chapter:

choose Chapter Bonn Frankfurt Heidelberg Kaiserlautern Munich Stuttgart Wiesbaden - Mainz

Fax number of chapter you have chosen above:

choose Chapter Fax Bonn +49(0)2225.70.34.999 Frankfurt +49(0)69.97.358.199 Heidelberg +49(0)6221.167.376 Kaiserslautern +49(0) Munich +49(0)321.14.129.595 Stuttgart +49(0)711.66.484.195 Wiesbaden - Mainz +49(0)611.99.386.169

If the Chapter fax number is not listed, please fax to the Administrative Office Bonn at +49(0)2225.70.34.999