Volker Metzing, Querstraße 28, 04435 Schkeuditz, Germany
Bank: Commerzbank, bank code: 0282 6824 00, bank account: 860 400 00
IBAN: DE43 8604 0000 0282 6824 00, SWIFT-BIC: COBADEFF

please fill with printed letters,      please mark with a cross if necessary

Herewith I call for membership in the Orchidcover Collectors Club e. V. (OCC)

beginning from .........................

I promise to pay the annual fee until March 31 for the current year or within three month after joining.

I want to otain the OCC-journal in german or english

surname: ................................................................ first name: ........................................


date of birth (free): ...............................................


street + no.: ...........................................................


postcode + residence: ........................................... country: ............................................


telephone number: ................................................


e-mail: ...................................................................

I agree with the publication of my address my telephone number
my e-mail and my kind of collection as supplement in the OCC-journal.
Transmitting these informations to non-OCC-members is not allowed.