Application for Membership

I hereby apply for membership,

Firstname *

Lastname *

Birthday *

E-Mail *

Company Name (if applicable)

Address *

Zipcode *

City *

Country *

Tel. *

Membership * (Please select the desired option) Student: 25 EUR / Year Individual: 100 EUR / Year Start-up: < 10 EMP Years 1-3 100 EUR / Year SME: < 10 EMP 250 EUR / Year SME: < 50 EMP 500 EUR / Year SME: > 50 EMP T.B.D. individually Industrial companies: T.B.D. individually Research institutions, universities, schools and non-profit organizations: 500 EUR / Year

Please transfer the respective amount according to the chosen membership to:

CyberCraft Institute e.V.
IBAN: DE55 7015 0000 1007 4123 70
BIC: SSKMDEMMXXX

Stadtsparkasse München
Sparkassenstraße 2
80331 München

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