1. Contact Details

Name*

Surname*

Street & House number*

Postal code*

Municipality*

E-mail*

Phone number

Profession

Date of birth
Day/Month/Year (e.g. 02/11/1980)

FemaleMaleOther

2. Involvement

For the time being, I don’t wish to participate actively in déi Lénk’s activities.I wish to participate actively in déi Lénk’s activities.

3. Subjects that I’m interested in (maximum of 3 choices)

Labor and Social IssuesConstitution, Democracy, State and Government PoliciesHousing PoliciesEcology and Climate PoliciesEconomic Policies, Financial Place Issues and Foreign TradeEducation and youthFeminism and LGBTIQ* RightsHealth and CareTransport and Mobility PoliciesMigration and Refugee PoliciesHuman RightsFamily and childcareCulture and Arts PoliciesSports and Leisure PoliciesMedia PoliciesMunicipality PolicyPeace Policies and CooperationInternet Rights and Data ProtectionDigitalization and New Technologies

4. Information

I wish to be informed
By postvia mail

5. Membership Fee

These figures are to be considered as minimum fees. We are grateful for every contribution that exceeds the indications above, for example with a standing order. Your contribution helps to sustain and improve our work.

Member without an Income 5€Member with a steady Income 30€Sympathizer without an Income 5€Sympathizer with a steady Income 15€

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