More resources

Home

Membership application


_________________________________________
Name

_________________________________________
First Name

_________________________________________
Street, house number

_________________________________________
Town, Postal Code

_________________________________________
Country (in Germany: Bundesland)

_________________________________________
Phone

_________________________________________
Fax

_________________________________________
Email

_________________________________________
Home page

_________________________________________
Date of birth, Nationality

_________________________________________
Occupation (optional)

I - agree - do not agree - * that my address be disclosed to other members on request.

* Please delete as appropriate.

Please accept me as a member of the International League of the Non-religious and Atheists, registered association - Internationaler Bund der Konfessionslosen und Atheisten e.V.

  • Full member *
    I expressly declare that I am not a member of any church, denomination or religious community.
  • Extraordinary member *,**
    I expressly declare that due to professional or social reasons, I am a member of a church, denomination or religious community against my convictions.

_______________________________________
Place, date

_______________________________________
Signed

Application for reduced contribution

  • My spouse/partner

    _____________________________________
    is a full member or is applying for membership at the same time as myself. *
    We receive only one copy of each the Rundbrief and the MIZ.
  • I am a member of

    _____________________________________*
  • I am on low income.*,***

    _____________________________________


    _____________________________________


_______________________________________
Signed

* Please mark with a cross where applicable.
** With restricted access to official functions.
*** Please explain briefly.

Please fill in this form and send it to: IBKA e.V., Postfach 17 45, D-58017 Hagen, Germany