Interner Bereich

Antrag 49060

Status pending · 2026-09-12 12:02:16

PDF

Offene Anträge

Daten

Name
Marc Eren
Geburtsdatum
2001-12-28
Adresse
Zollwqe 12312, 38123 Cremlingen
Telefon
213213123
E-Mail
marc@eren.pw
Aufnahmedatum
2026-10-01
Mitgliedschaft
foerdermitglied
Beitrag
yearly — 12 €/Jahr
Zahlung
ueberweisung
Ort/Datum
Braunschweig, 2026-09-12
Rohdaten (JSON)
{
    "desired_membership_date": "2026-10-01",
    "last_name": "Eren",
    "first_name": "Marc",
    "birth_date": "2001-12-28",
    "street": "Zollwqe 12312",
    "zip": "38123",
    "city": "Cremlingen",
    "phone": "213213123",
    "email": "marc@eren.pw",
    "membership_type": "foerdermitglied",
    "contribution_mode": "yearly",
    "yearly_amount": "12",
    "monthly_amount": "",
    "payment_type": "ueberweisung",
    "sepa_account_holder": "",
    "sepa_iban": "",
    "sepa_bic": "",
    "newsletter_opt_in": true,
    "legal_satzung_ack": true,
    "legal_satzung_received": true,
    "legal_data_club": true,
    "place_signed": "Braunschweig",
    "date_signed": "2026-09-12",
    "typed_full_name": "Eren Marc",
    "electronic_confirm": true,
    "client_ip": "2a02:560:5d4f:3300:3866:87f:7290:aee4",
    "user_agent": "Mozilla\/5.0 (Windows NT 10.0; Win64; x64; rv:155.0) Gecko\/20100101 Firefox\/155.0"
}