Become a Member

Great that you want to become part of 1. FC 1910 Heinsberg-Lieck e.V.! Just fill out the form below — we’re already looking forward to welcoming you on and off the pitch.

Are you already a member and just want to update your bank details? Then head this way: Change data.

Personal data

First name *

Last name *

Date of birth *

Gender *

Email *

Phone *

Address

Street *

House No. *

ZIP Code *

City *

Country *

Membership

Membership type *

Eligibility to play

Have you already been eligible to play for another football club? *

Yes, I have already been active in another club No, I have not played football in a club yet

If yes, we will apply for the player pass from the previous club on your behalf.

SEPA Direct Debit Mandate

Account holder *

IBAN *

Bank (optional)

BIC (optional)

SEPA Direct Debit Mandate

I authorize 1. FC 1910 Heinsberg-Lieck e.V. to collect payments from my account via direct debit. At the same time, I instruct my financial institution to honor the direct debits drawn by 1. FC 1910 Heinsberg-Lieck e.V. on my account.

Note: I can request a refund of the debited amount within eight weeks, starting from the debit date. The conditions agreed with my financial institution apply.

I hereby confirm that all information provided in this form is correct and complete. *

Become a Member

Personal data

Address

Membership

Eligibility to play

SEPA Direct Debit Mandate

Quick Links

Contact

Become a Member

Personal data

Address

Membership

Eligibility to play

SEPA Direct Debit Mandate

Quick Links

Contact

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