This form contains 59 fields organized into 21 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Account Holder Information
Account holder is applicant for membership Checkbox
Check this box if the account holder is the same person or entity as the applicant for membership. Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Depends on: Lastschriftverfahren
Account Holder Name / Company Text
Please provide the full name or company name of the account holder. Fill only if 'Account holder is applicant for membership' is 'No'.
Depends on: Account holder is applicant for membership
Account Holder Street Address Text
Please provide the street name and house number of the account holder's address. Fill only if 'Account holder is applicant for membership' is 'No'.
Depends on: Account holder is applicant for membership
Account Holder Postal Code and City Text
Please provide the postal code and city of the account holder's address. Fill only if 'Account holder is applicant for membership' is 'No'.
Depends on: Account holder is applicant for membership
Applicant Email Address
Email Address Text
Please provide the email address of the applicant.
Applicant Information
Name / First Name / Company Text
Please enter your full name, first name, or company name.
Additional Address Information Text
Please provide any additional address information for your address.
Street and House Number Text
Please enter your street name and house number.
Postal Code and City Text
Please provide your postal code and the name of your city.
Bank Details
Bank Name Text
Please provide the full name of your financial institution. Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Depends on: Lastschriftverfahren
BIC Code Text
Please enter the Bank Identifier Code (BIC) for your financial institution. Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Max length: 11 characters
Depends on: Lastschriftverfahren
Confirmation Dispatch Options
Directly to Member Radiobutton
Check this box if the membership confirmation and invoice should be sent directly to the member.
Via Intermediary Radiobutton
Check this box if the membership confirmation and invoice should be sent via the intermediary.
Directly to Member, Copy to Intermediary Radiobutton
Check this box if the membership confirmation and invoice should be sent directly to the member, with a copy also sent to the intermediary.
Dispatch by Mail Radiobutton
Check this box if the membership confirmation and invoice should be dispatched via postal mail.
Dispatch by E-Mail Radiobutton
Check this box if the membership confirmation and invoice should be dispatched via email.
Date
Date Date
Please provide the date when this mandate was signed. Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Depends on: Lastschriftverfahren
Date of Birth
Day of Birth Text
Please enter the day of your birth as a one or two-digit number.
Max length: 2 characters
Month of Birth Text
Please enter the month of your birth as a one or two-digit number.
Max length: 2 characters
Year of Birth Number
Please enter the year of your birth.
Max length: 4 characters
General
Button
Button
IBAN
IBAN Segment 1 Text
Enter the first segment of the International Bank Account Number (IBAN). Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Max length: 4 characters
Depends on: Lastschriftverfahren
IBAN Segment 2 Text
Enter the second segment of the International Bank Account Number (IBAN). Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Max length: 4 characters
Depends on: Lastschriftverfahren
IBAN Segment 3 Text
Enter the third segment of the International Bank Account Number (IBAN). Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Max length: 4 characters
Depends on: Lastschriftverfahren
IBAN Segment 4 Text
Enter the fourth segment of the International Bank Account Number (IBAN). Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Max length: 4 characters
Depends on: Lastschriftverfahren
IBAN Segment 5 Text
Enter the fifth segment of the International Bank Account Number (IBAN). Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Max length: 4 characters
Depends on: Lastschriftverfahren
IBAN Segment 6 Text
Enter the sixth segment of the International Bank Account Number (IBAN). Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Max length: 2 characters
Depends on: Lastschriftverfahren
Mediator Email Address
Mediator Email Address Text
Enter the email address of the mediator. Fill only if 'Dispatch by E-Mail' is checked.
Depends on: Dispatch by E-Mail
Mediator Number
Mediator Number Text
Please provide the mediator's unique identification number.
Mediator Stamp
Mediator Name or Company Text
Please provide the full name of the mediator or the company name.
Mediator Street and House Number Text
Please provide the street name and house number of the mediator's address.
Mediator Postal Code and City Text
Please provide the postal code and city of the mediator's address.
Mediator Contact Information Text
Please provide any additional contact information for the mediator, such as phone, fax, or email.
Member Type
Unternehmen Radiobutton
Check this box if the membership applies to a company (e.g., a personal or capital company).
Natürliche Person Radiobutton
Check this box if the membership applies to an individual (e.g., self-employed, freelancer, managing director, board member, or senior employee).
Membership Fee
Annual Fee (€28.00) Radiobutton
Check this box if you agree to pay an annual membership fee of €28.00.
One-time Fee (€75.00) Radiobutton
Check this box if you agree to pay a one-time membership fee of €75.00, which covers the entire membership duration.
Radiobutton
FHI e. V. Checkbox
Check this box if you are already a member of FHI e. V. and are applying for a free secondary membership in VFMW according to § 5 Paragraph 3 of the Statutes. Fill only if is checked.
Depends on:
VMW e. V. Checkbox
Check this box if you are already a member of VMW e. V. and are applying for a free secondary membership in VFMW according to § 5 Paragraph 3 of the Statutes. Fill only if is checked.
Depends on:
GUS e. V. Checkbox
Check this box if you are already a member of GUS e. V. and are applying for a free secondary membership in VFMW according to § 5 Paragraph 3 of the Statutes. Fill only if is checked.
Depends on:
hpv e. V. Checkbox
Check this box if you are already a member of hpv e. V. and are applying for a free secondary membership in VFMW according to § 5 Paragraph 3 of the Statutes. Fill only if is checked.
Depends on:
MB e. V. Checkbox
Check this box if you are already a member of MB e. V. and are applying for a free secondary membership in VFMW according to § 5 Paragraph 3 of the Statutes. Fill only if is checked.
Depends on:
Membership Number Text
Please enter your membership number. Fill only if is checked.
Depends on:
Membership Start Date
Membership Start Day Text
Enter the day of the month when the membership officially started.
Max length: 3 characters
Membership Start Month Text
Enter the month when the membership officially started.
Max length: 2 characters
Membership Start Year Text
Enter the year when the membership officially started.
Max length: 4 characters
Payment Method
Lastschriftverfahren Radiobutton
Check this box if you wish to pay your membership fees and charges via SEPA direct debit mandate.
Überweisung nach Bestätigung Radiobutton
Check this box if you prefer to pay your contribution by bank transfer to the VFMW account after receiving your admission confirmation.
Signature Details
Signature Place Text
Please provide the city or town where this form is being signed.
Signature Date Date
Please provide the date when this form is being signed.
Submitted Via
Submitted Via Text
Please enter how the application was submitted.
Telefax Number
Text
Text
Telephone Number
Telephone Area Code Text
Please provide the area code of your telephone number.
Telephone Local Number Text
Please provide the local part of your telephone number.
Type of Payment
Einmallastschrift Radiobutton
Check this box if the payment is a one-time direct debit. Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Depends on: Lastschriftverfahren
wiederkehrende Lastschrift Radiobutton
Check this box if the payment is a recurring direct debit. Fill only if 'Lastschriftverfahren gemäß gesondertem SEPA-Basislastschriftmandat' is 'Yes'.
Depends on: Lastschriftverfahren