Supporting Membership

Become a sustaining member

Form of address:

Title:

First name (required):

Surname (required):

Street, house number (required):

Postal Code, City (required):

Country (required):

E-mail (required):

IBAN (required):

BIC (required):

I support Cap Anamur:
monthlyquarterlysemi-annuallyannually

With an amount of:
10 Euros20 Euros50 Euros
or enter your own amount:

We will use your address data only for membership-service. The data will not be passed on.

Termination of membership is possible at any time without notice periods and will be effective for the following month.

I authorize the payee Cap Anamur / German Emergency Doctors e.V. with the creditor identification number DE66ZZZ00000146900 to collect the subsidy from my account using direct debit.