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脺bermittlung SEPA-Mandat - Gesellschaft f眉r Informatik e.V.
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mb-5"><!--TYPO3SEARCH_begin--><div class="section section-default"><div id="c3935" class="frame frame-default frame-type-header frame-layout-0 frame-background-none frame-no-backgroundimage frame-space-before-none frame-space-after-none"><div class="frame-container"><div class="frame-inner"><header class="frame-header"><h1 class="element-header "><span>Online-Formular zur 脺bermittlung Ihres SEPA-Basislastschriftmandat</span></h1></header></div></div></div><div id="c3937" class="frame frame-default frame-type-text frame-layout-0 frame-background-none frame-no-backgroundimage frame-space-before-none frame-space-after-none"><div class="frame-container"><div class="frame-inner"><p><strong>Wiederkehrende Zahlungen</strong></p><p>Gl盲ubiger-Identifikationsnummer: </p><p><strong>DE84ZZZ00000017760 </strong></p><p><strong>Mandatsreferenz</strong> (wird Ihnen zu einem sp盲teren Zeitpunkt mitgeteilt) </p><p>lch/Wir erm盲chtige(n) die Gesellschaft f眉r Informatik e.V. (GI), Zahlungen von meinem/unserem Konto mittels Lastschrift einzuziehen. Zugleich weise(n) ich/wir mein/unser Kreditinstitut an, die von der Gesellschaft f眉r Informatik e.V. (GI) auf mein/unser Konto gezogenen Lastschriften einzul枚sen. </p><p>Hinweis: Ich kann/wir k枚nnen innerhalb von acht Wochen, beginnend mit dem Belastungsdatum, die Erstattung des belasteten Betrags verlangen. Es gelten dabei die mit meinem/unserem Kreditinstitut vereinbarten Bedingungen.</p></div></div></div><div id="c3938" class="frame frame- frame-type-list frame-layout-0 frame-background-none frame-no-backgroundimage frame-space-before-none frame-space-after-none"><div class="frame-container"><div class="frame-inner"><div class="tx-powermail"><div class=""><form data-powermail-validate="data-powermail-validate" data-validate="html5" data-powermail-ajax="true" data-powermail-form="8" enctype="multipart/form-data" name="field" class="powermail_form powermail_form_8 nolabel form-horizontal " action="/sepa?tx_powermail_pi1%5Baction%5D=confirmation&tx_powermail_pi1%5Bcontroller%5D=Form&cHash=f63e514984b47778326b81c3498c1c69#c3938" method="post"><div><input type="hidden" name="tx_powermail_pi1[__referrer][@extension]" value="Powermail" /><input type="hidden" name="tx_powermail_pi1[__referrer][@controller]" value="Form" /><input type="hidden" name="tx_powermail_pi1[__referrer][@action]" value="form" /><input type="hidden" name="tx_powermail_pi1[__referrer][arguments]" value="YTowOnt967dcfc7fa191b2ed0b1be31ed85d0a9ebb92406a" /><input type="hidden" name="tx_powermail_pi1[__referrer][@request]" value="{"@extension":"Powermail","@controller":"Form","@action":"form"}b2cbfd92908ab50d1d36ed2214137d0a56a37511" /><input type="hidden" name="tx_powermail_pi1[__trustedProperties]" value="{"field":{"gifg_nummer":1,"vorname":1,"nachname":1,"post_adresse":1,"post-stadt":1,"post-land":1,"iban":1,"bic":1,"gueltigvom":1,"e_mail_adressedeskontoinhabers":1,"firmanamevorname2":1,"datum":1,"__hp":1},"mail":{"form":1}}88b71eb500b8382edf840881b8710e8ffba211cc" /></div><h3>脺bermittlung SEPA-Mandat</h3><fieldset class="powermail_fieldset powermail_fieldset_25 "><div class="row"><div class="col-xs-12 col-lg-3"><legend class="powermail_legend">SEPA-Basislastschriftmandat</legend></div><div class="col-xs-12 col-lg-6"><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_gifg_nummer form-group"><label for="powermail_field_gifg_nummer" class="control-label col-xs-12" title=""> Mitgliedsnummer<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_gifg_nummer" type="text" name="tx_powermail_pi1[field][gifg_nummer]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_vorname form-group"><label for="powermail_field_vorname" class="control-label col-xs-12" title=""> Vorname<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_vorname" type="text" name="tx_powermail_pi1[field][vorname]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_nachname form-group"><label for="powermail_field_nachname" class="control-label col-xs-12" title=""> Nachname<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_nachname" type="text" name="tx_powermail_pi1[field][nachname]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_post_adresse form-group"><label for="powermail_field_post_adresse" class="control-label col-xs-12" title=""> Stra脽e, Hausnummer<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_post_adresse" type="text" name="tx_powermail_pi1[field][post_adresse]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_input powermail_fieldwrap_post-stadt form-group"><label for="powermail_field_post-stadt" class="control-label col-xs-12" title=""> PLZ, Ort<span class="mandatory">*</span></label><div class="col-xs-12"><input required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="powermail_input form-control " id="powermail_field_post-stadt" type="text" name="tx_powermail_pi1[field][post-stadt]" value="" /></div></div><div class="powermail_fieldwrap powermail_fieldwrap_type_select powermail_fieldwrap_post-land form-group"><label for="powermail_field_post-land" class="control-label col-xs-12" title=""> Land<span class="mandatory">*</span></label><div class="col-xs-12"><select required="required" aria-required="true" data-powermail-required-message="Dieses Feld muss ausgef眉llt werden!" class="custom-select powermail_select " id="powermail_field_post-land" name="tx_powermail_pi1[field][post-land]"><option value="Afghanistan">Afghanistan</option><option value="脛gypten">脛gypten</option><option value="脜landinseln">脜landinseln</option><option value="Albanien">Albanien</option><option value="Algerien">Algerien</option><option value="Amerikanisch-Ozeanien">Amerikanisch-Ozeanien</option><option value="Amerikanisch-Samoa">Amerikanisch-Samoa</option><option value="Amerikanische Jungferninseln">Amerikanische Jungferninseln</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antarktis">Antarktis</option><option value="Antigua und Barbuda">Antigua und Barbuda</option><option value="脛quatorialguinea">脛quatorialguinea</option><option value="Argentinien">Argentinien</option><option value="Armenien">Armenien</option><option value="Aruba">Aruba</option><option value="Aserbaidschan">Aserbaidschan</option><option value="脛thiopien">脛thiopien</option><option value="Australien">Australien</option><option value="Bahamas">Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesch">Bangladesch</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgien">Belgien</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivien">Bolivien</option><option value="Bonaire, Sint Eustatius und Saba">Bonaire, Sint Eustatius und Saba</option><option value="Bosnien und Herzegowina">Bosnien und Herzegowina</option><option value="Botsuana">Botsuana</option><option value="Bouvetinsel">Bouvetinsel</option><option value="Brasilien">Brasilien</option><option value="Britische Jungferninseln">Britische Jungferninseln</option><option value="Britisches Territorium im Indischen Ozean">Britisches Territorium im Indischen Ozean</option><option value="Brunei Darussalam">Brunei Darussalam</option><option value="Bulgarien">Bulgarien</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Chile">Chile</option><option value="China">China</option><option value="Cookinseln">Cookinseln</option><option value="Costa Rica">Costa Rica</option><option value="Cura莽ao">Cura莽ao</option><option value="D盲nemark">D盲nemark</option><option value="Demokratische Republik Kongo">Demokratische Republik Kongo</option><option value="Demokratische Volksrepublik Korea">Demokratische Volksrepublik Korea</option><option value="Deutschland" selected="selected">Deutschland</option><option value="Dominica">Dominica</option><option value="Dominikanische Republik">Dominikanische Republik</option><option value="Dschibuti">Dschibuti</option><option value="Ecuador">Ecuador</option><option value="El Salvador">El Salvador</option><option value="Elfenbeink眉ste">Elfenbeink眉ste</option><option value="Eritrea">Eritrea</option><option value="Estland">Estland</option><option value="Falklandinseln">Falklandinseln</option><option value="F盲r枚er">F盲r枚er</option><option value="Fidschi">Fidschi</option><option value="Finnland">Finnland</option><option value="Frankreich">Frankreich</option><option value="Franz枚sisch-Guayana">Franz枚sisch-Guayana</option><option value="Franz枚sisch-Polynesien">Franz枚sisch-Polynesien</option><option value="Franz枚sische S眉d- und Antarktisgebiete">Franz枚sische S眉d- und Antarktisgebiete</option><option value="Gabun">Gabun</option><option value="Gambia">Gambia</option><option value="Georgien">Georgien</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Grenada">Grenada</option><option value="Griechenland">Griechenland</option><option value="Gr枚nland">Gr枚nland</option><option value="Gro脽britannien">Gro脽britannien</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Heard und McDonaldinseln">Heard und McDonaldinseln</option><option value="Honduras">Honduras</option><option value="Hong Kong S.A.R., China">Hong Kong S.A.R., China</option><option value="Indien">Indien</option><option value="Indonesien">Indonesien</option><option value="Insel Man">Insel Man</option><option value="Irak">Irak</option><option value="Iran">Iran</option><option value="Irland">Irland</option><option value="Island">Island</option><option value="Israel">Israel</option><option value="Italien">Italien</option><option value="Jamaika">Jamaika</option><option value="Japan">Japan</option><option value="Jemen">Jemen</option><option value="Jersey">Jersey</option><option value="Jordanien">Jordanien</option><option value="Kaimaninseln">Kaimaninseln</option><option value="Kambodscha">Kambodscha</option><option value="Kamerun">Kamerun</option><option value="Kanada">Kanada</option><option value="Kap Verde">Kap Verde</option><option value="Kasachstan">Kasachstan</option><option value="Katar">Katar</option><option value="Kenia">Kenia</option><option value="Kirgisistan">Kirgisistan</option><option value="Kiribati">Kiribati</option><option value="Kokosinseln (Keeling)">Kokosinseln (Keeling)</option><option value="Kolumbien">Kolumbien</option><option value="Komoren">Komoren</option><option value="Kongo">Kongo</option><option value="Kosovo">Kosovo</option><option value="Kroatien">Kroatien</option><option value="Kuba">Kuba</option><option value="Kuwait">Kuwait</option><option value="Laos">Laos</option><option value="Lesotho">Lesotho</option><option value="Lettland">Lettland</option><option value="Libanon">Libanon</option><option value="Liberia">Liberia</option><option value="Libyen">Libyen</option><option value="Liechtenstein">Liechtenstein</option><option value="Litauen">Litauen</option><option value="Luxemburg">Luxemburg</option><option value="Macau S.A.R., China">Macau S.A.R., China</option><option value="Madagaskar">Madagaskar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Malediven">Malediven</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marokko">Marokko</option><option value="Marschallinseln">Marschallinseln</option><option value="Martinique">Martinique</option><option value="Mauretanien">Mauretanien</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexiko">Mexiko</option><option value="Mikronesien">Mikronesien</option><option value="Monaco">Monaco</option><option value="Mongolei">Mongolei</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Mosambik">Mosambik</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Neukaledonien">Neukaledonien</option><option value="Neuseeland">Neuseeland</option><option value="Nicaragua">Nicaragua</option><option value="Niederlande">Niederlande</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="N枚rdliche Marianen">N枚rdliche Marianen</option><option value="Nordmazedonien">Nordmazedonien</option><option value="Norfolkinsel">Norfolkinsel</option><option value="Norwegen">Norwegen</option><option value="Oman">Oman</option><option value="脰sterreich">脰sterreich</option><option value="Osttimor">Osttimor</option><option value="Pakistan">Pakistan</option><option value="Pal盲stina">Pal盲stina</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua-Neuguinea">Papua-Neuguinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippinen">Philippinen</option><option value="Pitcairn">Pitcairn</option><option value="Polen">Polen</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Republik Korea">Republik Korea</option><option value="Republik Moldau">Republik Moldau</option><option value="R茅union">R茅union</option><option value="Ruanda">Ruanda</option><option value="Rum盲nien">Rum盲nien</option><option value="Russische F枚deration">Russische F枚deration</option><option value="Saint-Barth茅lemy">Saint-Barth茅lemy</option><option value="Saint-Martin">Saint-Martin</option><option value="Salomonen">Salomonen</option><option value="Sambia">Sambia</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="S茫o Tom茅 und Pr铆ncipe">S茫o Tom茅 und Pr铆ncipe</option><option value="Saudi-Arabien">Saudi-Arabien</option><option value="Schweden">Schweden</option><option value="Schweiz">Schweiz</option><option value="Senegal">Senegal</option><option value="Serbien">Serbien</option><option value="Seychellen">Seychellen</option><option value="Sierra Leone">Sierra Leone</option><option value="Simbabwe">Simbabwe</option><option value="Singapur">Singapur</option><option value="Sint Maarten">Sint Maarten</option><option value="Slowakei">Slowakei</option><option value="Slowenien">Slowenien</option><option value="Somalia">Somalia</option><option value="Spanien">Spanien</option><option value="Sri Lanka">Sri Lanka</option><option value="St. Helena">St. Helena</option><option value="St. Kitts und Nevis">St. Kitts und Nevis</option><option value="St. Lucia">St. Lucia</option><option value="St. Pierre und Miquelon">St. Pierre und Miquelon</option><option value="St. Vinzent und die Grenadinen">St. Vinzent und die Grenadinen</option><option value="S眉dafrika">S眉dafrika</option><option value="Sudan">Sudan</option><option value="S眉dgeorgien und die S眉dlichen Sandwichinseln">S眉dgeorgien und die S眉dlichen Sandwichinseln</option><option value="S眉dsudan">S眉dsudan</option><option value="Suriname">Suriname</option><option value="Svalbard und Jan Mayen">Svalbard und Jan Mayen</option><option value="Swasiland">Swasiland</option><option value="Syrien">Syrien</option><option value="Tadschikistan">Tadschikistan</option><option value="Taiwan">Taiwan</option><option value="Tansania">Tansania</option><option value="Thailand">Thailand</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad und Tobago">Trinidad und Tobago</option><option value="Tschad">Tschad</option><option value="Tschechische Republik">Tschechische Republik</option><option value="Tunesien">Tunesien</option><option value="T眉rkei">T眉rkei</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks- und Caicosinseln">Turks- und Caicosinseln</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="Ungarn">Ungarn</option><option value="Uruguay">Uruguay</option><option value="Usbekistan">Usbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatikanstadt">Vatikanstadt</option><option value="Venezuela">Venezuela</option><option value="Vereinigte Arabische Emirate">Vereinigte Arabische Emirate</option><option value="Vereinigte Staaten von Amerika">Vereinigte Staaten von Amerika</option><option value="Vietnam">Vietnam</option><option value="Wallis und Futuna">Wallis und Futuna</option><option value="Weihnachtsinsel">Weihnachtsinsel</option><option value="Westsahara">Westsahara</option><option value="Zentralafrikanische Republik">Zentralafrikanische Republik</option><option 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