Membership

We are delighted that you have decided to join the Harvard Club Hamburg. The officers of the Club would like to extend a warm welcome to you. We hope that you will enjoy the many activities which the Club has to offer."

The minimum annual membership fee is € 50. You are welcome to contribute any amount on top of the minimum membership fee. Upon payment of any membership or contribution, we will issue a receipt to file with your tax office (Spendenquittung).

Please remit the membership fee to the account of the Harvard Club Hamburg, Account-No. 6349 492, Commerzbank Hamburg, Bank Code 200 400 00.

If you wish to print out the application form and send it via fax, please use the printable form.

User name:*
Password:*

Name

Address:
Title, if any:
Last Name:*
First Name:*
Middle Initial:
Date of birth: yyyy-mm-dd
Nationality:
Name of spouse/significant other:

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	Aktivitäten bei Harvard
Graduation Year:
Degree:
Faculty I:
Graduation Year:
Degree:
Faculty II:
Berufliches Feld

Home Address

Street1:
Street2:
City:
Zip Code:
Country:
Home Phone:
Home Fax:
Mobile Phone:
Home Email:

Work Address

Company:
Street1:
Street2:
City:
Zip Code:
Country:
Work Phone:
Work Fax:
Work Mobile Phone:
Work Email:

Banking details

BLZ:
Account number:
Bank:
Annual amount (minimum amount € 100):

Deliveryoptions

Delivery:

Please reply briefly:

	What are your special interests that should ideally be reflected in the activities of Harvard Club Hamburg?
	Would you be willing to proactively support the activities of Harvard Club Hamburg? If so, by what means?
	Are you member of other Harvard Clubs nationally and/or internationally beside Hamburg? If so, which clubs?
	Would you be willing to participate in interviews/search for new Harvard College scholarship holders?
	Any other ideas:

For paymenth Method "Lastschrifteinzug", please print and fax Formular: Direct Debeting