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Antrag 22002

Status archived · 2026-05-16 05:05:30

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Offene Anträge · Archiv

Daten

Name
Marc (TEST!!!) Eren
Geburtsdatum
2001-12-28
Adresse
Zollstr 32, 38162 Cremlingen
Telefon
01711133507
E-Mail
marc@eren.pw
Aufnahmedatum
2026-05-16
Mitgliedschaft
foerdermitglied
Beitrag
yearly — 12 €/Jahr
Zahlung
sepa
SEPA Kontoinhaber
test tes
SEPA IBAN
DE121232132132132312311
SEPA BIC
NDSBE1XXX
Ort/Datum
Braunschweig, 2026-05-16
Rohdaten (JSON)
{
    "desired_membership_date": "2026-05-16",
    "last_name": "Eren",
    "first_name": "Marc (TEST!!!)",
    "birth_date": "2001-12-28",
    "street": "Zollstr 32",
    "zip": "38162",
    "city": "Cremlingen",
    "phone": "01711133507",
    "email": "marc@eren.pw",
    "membership_type": "foerdermitglied",
    "contribution_mode": "yearly",
    "yearly_amount": "12",
    "monthly_amount": "",
    "payment_type": "sepa",
    "sepa_account_holder": "test tes",
    "sepa_iban": "DE121232132132132312311",
    "sepa_bic": "NDSBE1XXX",
    "newsletter_opt_in": true,
    "legal_satzung_ack": true,
    "legal_satzung_received": true,
    "legal_data_club": true,
    "place_signed": "Braunschweig",
    "date_signed": "2026-05-16",
    "typed_full_name": "Marc Eren",
    "electronic_confirm": true,
    "client_ip": "2a02:3030:c:155e:607f:cd1:fe6f:3b10",
    "user_agent": "Mozilla\/5.0 (Macintosh; Intel Mac OS X 10_15_7) AppleWebKit\/605.1.15 (KHTML, like Gecko) Version\/26.1 Safari\/605.1.15"
}