Abo

School location:
Birthday:
Salutation:
Forename:
Surname:
E-mail:
Phone:
Coupon code:

Which package would you like to book?

Who would like to train?

Salutation:

Forename:

Surname:

Street:

Postcode:

City:

Birthday:

Member is younger than 18 years. Who books the membership?

Salutation:

Forename:

Surname:

Street:

Postcode:

:

How do we get in touch with you?

Phone:

Mobile:

E-mail:

Where may we debit your contribution?

Account holder:

IBAN:

By signing this mandate form, you authorise (A) the creditor Matrix Jiu Jitsu GmbH (Creditor identifier: DE37ZZZ00002630331) to send instructions to your bank to debit
your account and (B) your bank to debit your account in accordance with the instructions from the creditor Matrix Jiu Jitsu.

With the booking I accept the contractual terms and conditions and the data protection provisions of Matrix Jiu Jitsu GmbH and take note of the cancellation policy.

Please select an offer. Please fill in the personal data. Please fill in the contractor. Please fill in the contact details. Please fill in the payment details. Please confirm receipt of the information.