Membership Application

I want to enlist as a member of Künstlerhaus Stuttgart Reuchlinstraße e.V.:

company

salutation^*

first name^*

last name^*

birthdate^*

street, number^*

post code^*

city^*

state (only required if not Germany)

E-Mail address^*

phone number

mobile number

workshop

membership^*

If the child is participating in the children's workshop, please enter the child's name:

first name, last name of child^*

For gift memberships, please enter the name, bank details and E-Mail address of the donor:

E-Mail address for invoice^*

first name, last name of donor

direct debit:
I hereby authorize Künstlerhaus Stuttgart to debit my membership fee as indicated above from the following account according to the payment date (after acceptance and from the 2nd year on at the beginning of the legal year), valid until recalled.

bank transfer/cash payment:
You will receive an invoice when you choose bank transfer or cash payment.

payment^*

IBAN

BIC

name of bank

Einverständniserklärung ^*

I agree that my data will be deposited, processed and used by Künstlerhaus Stuttgart for the purpose of fulfilling the contract within the framework of membership.
I have been informed that the personal data collected within the framework of the above-mentioned purposes will be collected, processed, used and transmitted in compliance with the EU Data Protection Regulation. I have been informed of my rights as a data subject.
The declaration of consent is given on a voluntary basis. I have been informed that I can revoke the declaration of consent at any time by written notification for the future.

Einverständniserklärung

I hereby confirm my subscription to the newsletter. As a member, I will receive information and invitations from Künstlerhaus regarding its programme and avtivities unless I decide to unsubscribe.

Bevor der Antrag abgesendet werden kann, muss die E-Mail Adresse verifiziert werden

MEMBERSHIP APPLICATION

Die E-Mail wurde verifiziert