Membership Application

✅ Application Submitted!

Thank you for applying to Aixpats e.V. We have received your application and will be in touch soon.

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👤 Personal Information

First Name *

Last Name *

Email *

Phone

Date of Birth *

Nationality

Current Address *

Your Employment Status *

Working Non-Working / Student

💑 Partner / Spouse

Add your partner if they are part of the household (max. 2).

👶 Children (under 22, unmarried)

Children under 22 without own income qualify for the membership benefit (€6/year each).

💶 Annual Fee Summary

Your Calculated Annual Contribution

Total per Year€0

Fees are collected annually via SEPA Direct Debit. The first debit occurs 4-6 weeks after membership confirmation.

🏦 SEPA Direct Debit Mandate

📋 SEPA-Lastschriftmandat / Direct Debit Authorisation

By filling in your bank details and submitting this form, you authorise Aixpats e.V. to collect the annual membership fee via SEPA Direct Debit. You have the right to a refund from your bank within 8 weeks.

Account Holder Name *

Bank Name

IBAN *

BIC / SWIFT

🔒 Your bank details are transmitted securely and used exclusively for annual fee collection. This mandate remains valid until cancelled in writing.

✅

Place & Date *

Active Membership

Non-Active Membership

✅ Application Submitted!

Your Calculated Annual Contribution

📋 SEPA-Lastschriftmandat / Direct Debit Authorisation