Membership

Wir freuen uns über Ihr Interesse und Ihre aktive Mitarbeit. Werden Sie Mitglied beim Harvard Club München. Bitte füllen Sie das Aufnahmeformular und die Einzugsermächtigung aus und schicken Sie letzteres unserem Club Secretary Jens Waltermann, der Ihnen auch für etwaige Rückfragen zur Verfügung steht.

Wenn Sie das Formular ausdrucken und per Hand ausfüllen möchten, können Sie dies hier herunterladen.

Harvard Club München e.V.
c/o Solon Management Consulting
Jens Waltermann, Secretary
Kardinal-Faulhaber-Str. 6
80333 München

Fax +49-89 210388-44
info@muenchen.harvard-club.de

User name:*
Password:*

Name

Address:
Title, if any:
Last Name:*
First Name:*
Middle Initial:
Date of birth: yyyy-mm-dd
Nationality:
Name of spouse/significant other:

Photo

	Aktivitäten bei Harvard
Graduation Year:
Degree:
Faculty I:
Graduation Year:
Degree:
Faculty II:
Berufliches Feld

Home Address

Street1:
Street2:
City:
Zip Code:
Country:
Home Phone:
Home Fax:
Mobile Phone:
Home Email:

Work Address

Company:
Street1:
Street2:
City:
Zip Code:
Country:
Work Phone:
Work Fax:
Work Mobile Phone:
Work Email:

Banking details

BLZ:
Account number:
Bank:
Annual amount (minimum amount € 50):

Deliveryoptions

Delivery:

Please reply briefly:

	What are your special interests that should ideally be reflected in the activities of Harvard Club Berlin?
	Would you be willing to proactively support the activities of Harvard Club Berlin? If so, by what means?
	Are you member of other Harvard Clubs nationally and/or internationally beside Berlin? If so, which clubs?
	Would you be willing to participate in interviews/search for new Harvard College scholarship holders?
	Any other ideas: By submitting this formular, i agree that the following data shall be posted in the online membership directory, which is accessable for members only (name, first name, harvard-degree and year, job title, email address).

For paymenth Method "Lastschrifteinzug", please print and fax Formular: Direct Debeting