Membership application


 
Title *
degree
Last name *
First name *
Street * House no. *
 
Postcode / ZIP-Code * Place of residence *
 
Date of birth *
   
Country of residence *
Mother tongue *
E-mail address (make sure that it can also receive messages from us) *
Enter the email address again
 
Approval for publication in the public part on the homepage according to DS-GVO of 25.05.2018 ff. *
Approval for publication in the member area on the homepage according to DS-GVO from 25.05.2018 ff. *
Type of breeding *
 
Telephone fixed network
Mobile phone
 
1. Breed and color *
2. Breed and color
3. Breed and color
4. Breed and color
5. Breed and color
6. Breed and color
7. Breed and color
8. Breed and color
9. Breed and color
10. Breed and color
 
Additional information
 
Please fill out all fields marked with * (mandatory fields)