Formulario de socio

ES
EU

    Nombre y Apellidos (obligatorio)

    DNI (obligatorio)

    Año de nacimiento (obligatorio)

    Código Postal (obligatorio)

    Teléfono (obligatorio)

    Email(obligatorio)

    Tipo de socio (obligatorio)

    Activ@Colaborador@

    Formas de pago (obligatorio)

    En metálicoTransferencia a Pabellón 6Domiciliación bancaria

    En el caso de haber elegido domicialización bancaria*:

    * La domicialización bancaria solamente se puede elegir para hacer el pago de la cuota de SOCI@ ACTIV@

    Número de cuenta

    Quiero domiciliar el pago para próximos años (te puedes dar de baja de este servicio cuando lo desees) SiNo

    ¿Cómo nos has conocido?

    Amig@s / Soci@sMedios de comunicación, carteleríaInternet, redes sociales

    ¿Cómo prefieres recibir la información?

    CastellanoEuskera

    Comentarios

    Te comunicamos que tu dirección de correo electrónico forma parte de un fichero que tiene como finalidad informarte de nuestras actividades culturales. PABELLÓN Nº 6 es titular y responsable de dicha base de datos y garantiza los derechos de acceso, rectificación y cancelación y oposición de tus datos. Si no deseas recibir más información vía e-mail, responde a este mensaje con el asunto BAJA.


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