
Application for Membership
PDF-Download: Application for Membership
Bundesverband Vermögensanlagen
im Zweitmarkt Lebensversicherungen e.V. – Vorstand –
Ridlerstraße 33
80339 München
Application for Membership
1. Your data
Company: Contact:
Street:
Postal code / place: Phone:
Fax: E-Mail:
I hereby apply for membership in the „Bundesverband Vermögensanlagen im Zweitmarkt Lebensversicherungen e.V.“
Full member (EUR 5,000 net / year) q Sustaining member (EUR 4,000 net / year) q I acknowledge the Statutes and accept the amount of membership fee q
q Direct debit
Account No.: Bank:
Bank routing code:
Bundesverband Vermögensanlagen
im Zweitmarkt Lebensversicherungen (BVZL) e.V. Ridlerstraße 33 · 80339 München
q Invoice
Place/date: Signature:
Phone +49 (0) 89 24 20 37 – 08 Fax +49 (0) 89 24 20 37 – 09 info@bvzl.de
www.bvzl.de
Chairman Christian Seidl Ingo Wichelhaus
Banking Account
HypoVereinsbank AG München
Account 660 533 34 · Bank code 700 202 70 IBAN: DE 6670 0202 7000 6605 3334 SWIFT/BIC: HYVEDEMMXXX
Tax number: 143 / 842 / 38112
VAT: DE23 6913 413
2. Company description
Object of the company: Partner/Owner of the company: Business activities:
Date of company formation:
month
Company history:
Number of staff members:
Turnover shown in EUR (or comparable ratio): Main business partner(s)/References:
Statutory representatives:
Contact for BVZL membership:
Value added tax identification number (VAT):
Please attach a brief Curriculum Vitae of your representative in the Association to this questionnaire!
Place/date: Signature:
/
year