SuMa-eV - Declaration for supporters and single donations

I hereby certify that I (name, first name)

Function/Job:

Address:

EMail-Address:

Phone + Fax:

wants to promote - "SuMa-eV - Association for Free Access to Knowledge". I have taken note of the current statute and agree with the objectives of the association. The minimum is 1,-EUR per month. As a promotional post, I select:

.................. (fill in currency: EUR/Dollar/Pound/...) per month.

The contribution is reviewed annually on 01 August debited in advance or at the time of funding pro rata for the first year.

I do not want to encourage every month, but with a one and only donation of:
.................. (fill in currency: EUR/Dollar/Pound/...) once. The amount will be debited immediately.

I would like to be placed on the mailing list SuMa eV (tick desired):

Yes
No

Place and date:
....................................................................................
Signature after printing the form
Debit authorization

I hereby authorize the "Suma-eV - for free access to knowledge", conveying the above post to debit from my account.

My bank, Bank Name:

IBAN:

BIC/Swift:

Place and date:
...................................................................................
Signature after printing the form

Please print the form to fill out, sign on both ....... Lines and fax it to 0049-(0)40-23 61 38 33 or send it by post to:
SUMA-EV, PO Box 5361, 30053 Hannover, Germany
or scan it and send it via email to info@suma-ev.de. In any case, please inform us by email at info@suma-ev.de briefly about your promotion. Contributions or donations to the SuMa eV are tax deductible under German law, since the association by the tax office Hannover Nord is a non profit organization! A certificate for individual donations above 200,-EUR will be sent automatically. For donations to 200,-EUR, the bank receipt for the tax deductibility extends the tax office.

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