Ciudadanos Europeos

Membership application


Surname: Given name:
Postal address:
Municipality: Postcode:
Country: Phone:
Fax: E-mail:
Language

I have a Spanish bank account yes no

Bankers Standing Order (for banks in Spain only)
First year: 80 Euro, following years: 60 Euro. (VAT included.)

Bank:
Address:
Account no.: (20 digits)

If you have no bank account in Spain, please send a foreign bank cheque for the equivalent amount in any currency (first year 80 Euro, following years 60 Euro), plus 6 Euro for bank charges:
Ciudadanos Europeos
Blumenau 20
22303 Hamburg
Germany