Membership application

I hereby apply for membership of the association WupperOne929 UrbanArt e.V.
By post: WupperOne929 UrbanArt e.V. ● Hünefeldstraße 85 ● D-42285 Wuppertal ● or scanned by e-mail:

Membership data

Annual contributions (please mark with a cross)*
    The membership fee is due annually on January 31 and is collected by direct debit. I have completed the SEPA direct debit mandate has been completed.