[gsmaniac]

ADAC single Plusmembership (79,50 €)

1. Persönliche Daten & Bankverbindung
2. Überprüfen und abschicken

Hinweis










Your personal data:


Persönliche DatenTitle * MrMrs



First name *incl. titel, e.g. Dr. Michael



Last name *



Street, number * Info Street and Number
For technical reasons, our system only supports German addresses. In any other case, please contact an ADAC local office or call 01805 10 11 12 (0.14 €/call for T-Home landline; rates for mobile networks may differ). We apologise for any inconvenience caused.
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Post code, city *



Date of birth *
e.g. 01.05.1978


Marital status singlemarried / living in partnership



E-Mail Info email
Please insert a valid email adress in a the form "name@domain.de". "name" and "domain" cannot consist of blanks, "domain" has to have a dot "." If your SPAM-Filter is activated, please check your email inbox.
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z.B: name@domain.de



Phoneprefix without country code, e.g. 089 for munich



Faxprefix without country code, e.g. 089 for munich






Payment method:


I wish to pay ... * per automatic debit.upon bill



Your advantage: Save 4.00 € enrolment fee if you chose to pay your annual fee by automatic debit.




I authorise ADAC e.V. to withdraw the fees for my ADAC membership and ADAC Schutzbrief- and ADAC Rechtschutz Versicherungs AG to withdraw the insurance premiums from my account when due by way of automatic debit transfer.I may fully or partly revoke the automatic debit order any time without stating the reasons. Please note, that bank withdrawal is only possible from a german account.</SPAN>

Account number


Bank routing code8 digits


Account holdercomplete only if account holder and applicant are not the same person





ADACmotorwelt:


ADACmotorweltWould you like to receive the ADACmotorwelt magazine (available in German only)? * yesno





(* = mandatory fields)



αυτη ειναι η φορμα εγγραφης που μπορουμε να βρουμε στο www.adac.de και πατωντας το mitgliedschaft βγαζει το membership