I hereby apply as shareholder of the "Energiepark Mëllerdall" cooperative.
Name & First Name: (mandatory field)
E-mail: (mandatory field) Bitte lasse dieses Feld leer.
Street, house number: (mandatory field)
Postal code: (mandatory field)
City: (mandatory field)
Phone number: (mandatory field)
Mobile phone:
I understand that my application as shareholder will only become effective once confirmed by the Administrative Board and once the payment of the requested shares will be completed. Each share in the cooperative "Energiepark Mëllerdall" costs 100 €.
Number of requested shares : (á 100€):
Total
€
I agree to receive the newsletter, knowing that I will be able to unsubscribe later at any time by clicking to the dedicated link integrated in the newsletter.
With the sending of my request, I agree that my data will be processed and saved for the management of my file.(mandatory field)
