BVB MEMBER!

BECOME A
Yes, I want to become a member of BVB!
Alternatively, the application can be completed online at www.bvb.de/mitglieder

Postage paid by
Ms./Mrs. First name
Mr.
I I I I I I I I I I I I I I I I
Surname
I I I I I I I I I I I I I I I I I I I
Street, house number
Please complete with block letters

I I I I I I I I I I I I I I I I I I I
Postcode, City/Region
I I I I I I I I I I I I I I I I I I I
Date of birth Date of entry
I I I I I I I I I I I I I I I BV. Borussia 09 e.V. Dortmund
Mobile/Telephone number
Strobelallee 50
I I I I I I I I I I I I I I I I I I I
E-Mail D-44139 Dortmund
I I I I I I I I I I I I I I I I I I I Germany
I wish to become a member of BV. Borussia 09 e.V.
Date, signature of member. For persons under the age of 18, the signature of a legal guardian is
required. Applications on others’ behalf are not permitted.
Become a BVB member now! APPLICATION FOR ADMISSION
as passive member to BV. Borussia 09 e.V. Dortmund.
Does your passion for BVB not know any country Division
borders? Would you like to join other BVB fans  General membership  Football  Table Tennis
 Handball  Fan and funding department
abroad and become part of our worldwide black
and yellow family? There are several benefits Annual membership fee (admission fee not applicable)
waiting for you! Become a BVB member!  62 EUR adults  30 EUR for adults with concessions*
* Adults with a severe disability (50 % or over). When claiming a concession,

Advantages of BVB membership:

corresponding evidence must be provided.
 30 EUR young persons (only up until their 18th birthday)
• Complimentary members’ magazine “Borussia” For children up until their 14th birthday, please only complete the BVB KidsClub flyer!
 1.909 EUR lifetime membership
• Participation in the general assembly 120 EUR family membership Please only complete the application for admission
(from the age of 16 onwards). entitled “Family Membership”, available to download from www.bvb.de/mitglieder
In the year of joining, the appropriate prorated membership fee will be debited.
• Right to vote and speech
(from the age of 18 onwards Welcome present
• Preferred treatment during ticket allocation  BVB Ballpoint  BVB fan scarf  Donation
via a special contingent of tickets designated for Declaration of consent (please tick only if applicable)
members for all home and away I agree that BVB (Borussia Dortmund GmbH & Co. KGaA, Ballspielverein Borussia 09 e.V. Dortmund;
BVB Merchandising GmbH; BVB Event & Catering GmbH; besttravel Dortmund GmbH) will exchange my
• Personal membership identity card
data between the listed organisations, who will process it jointly and use it for communication, analysis
and email advertising purposes. Advertising includes, for example, ticket news, promotions and other
products/services (such as fan merchandise, events) of BVB and its official partners.
• Welcome present incl. personalised certificate Further information on data protection can be found at https://www.bvb.de/eng/Data-Protection/Data-
Protection-Provision or requested free of charge from Ballspielverein Borussia 09 e.V. Dortmund.
Alternatively, you can forgo your welcome gift* and do good. If you Note: I can withdraw this consent in whole or in part at any time with effect for the future without giving reasons.
An informal notification by post to Ballspielverein Borussia 09 e.V. Dortmund or to one or more of the above-
do so, BV. Borussia 09 e.V. Dortmund will make a donation of €10 to mentioned BVB Group companies under the above-mentioned addresses, or an email to [email protected]
„leuchte auf“ – the BVB Foundation. or by telephone 0231 / 9020-0 is sufficient to withdraw consent. The withdrawal of consent does not affect the
lawfulness of the processing carried out on the basis of the consent carried until the revocation.
* I am aware that for administrative and legal reasons, neither BV. Borussia 09 e.V. Dortmund
nor „leuchte auf“ – the BVB Foundation can issue a donation certificate for the donation.
SEPA Direct Debit Mandate, Creditor Identifier: DE29ZZZ00000088008
I authorize BV. Borussia Dortmund (I authorise Borussia Dortmund football club) to debit my account the
value of the annual membership fee (due 01 January each year) via direct debit. I simultaneously request
my financial institution to honour direct debit requests from BV. Borussia 09 e.V. Dortmund. Please note:
I can demand within 8 weeks from the initial date of liability the full reimbursement of the debited amount.
The terms and conditions of my financial institution are applicable.
Surname

I I I I I I I I I I I I I I I I I I I
First name

I I I I I I I I I I I I I I I I I I I
Street, house number

I I I I I I I I I I I I I I I I I I I
Postcode, City/Region

I I I I I I I I I I I I I I I I I I I
E-Mail

I I I I I I I I I I I I I I I I I I I
BIC
Information on data protection
Ballspielverein Borussia 09 e.V. Dortmund, Strobelallee 50, 44139 Dortmund, phone: +49231-4119,
email: [email protected], website: www.bvb.de/Der-Verein, collects, processes and uses your
I I I I I I I I I I I I I I I I I I I
IBAN
personal data for the proper execution of your active or passive membership in the club. Your personal
data will only be passed on to third parties if this is necessary for collecting your contributions or for
your participation in competitions. The provision and use of your personal data is necessary in order
DE I I I I I I I I I I I I I I I I I I I I I
to manage your membership in Ballspielverein Borussia 09 e.V.. Without it, you will not be able to
become a member. Further information on data protection can be found at https://www.bvb.de/eng/
Data-Protection/Data-Protection-Provision or requested free of charge from Ballspielverein Borussia
09 e.V. Dortmund. Date and signature of account holder