Obelio - Apply for Subscription (1)

Apply for Subscription (1)

eLETS Service

Explanations:

The personal data captured by this form will be used primarily by other subscribers to contact you.

Additionally the data will be used by Obelio and the administrators of the associated LETS communities to unambiguously correlate your name with your person in order to avoid mixing up equally named persons and to provide a barrier against identity fraud.

The banking information can be used to collect subscriber fees, if you permit this. The birth date can be used for implementing LETS-based savings mechanisms for pension provisions.

The data that you provide here will be treated as confidential by Obelio and the associated LETS organisations. External persons and organisations cannot access the confidential data stored at Obelio.

Please read the following three documents before you proceed with applying for subscription:

Via the selection field "Visibility in Contact Data" you can control, which data is visible to other subscribers in advertisements and in the contact data list.

Input fields marked with "*" are mandatory. Please fill out the following form and click the "Submit" button.

Visibility in
Contact Data:

Your Input:

Remarks:

General:

Terms and conditions
of Obelio accepted:

invisible

* Required for password

Market rules of
AcrossLETS accepted:

invisible

Opens additional
account in AcrossLETS

Agreed to the
processing of the
personal data by Obelio:

invisible

Required for
participation

Community you
would like to join:

visible

Subgroup you
would like to join:

visible

Information About Personal Identity:

Last Name:

visible

Birth Name:

if different
from last name

First Name:

visible

Middle Names:

Title:

visible

e.g. "Dr."

Gender:

visible

Date of Birth:

invisible

* Format: dd.mm.yyyy

Place of Birth:

invisible

Address:

Second address line:

E.g. c/o Deaconry Neustadt

Street address:

Postal code:

visible

City:

visible

District:

replaces City ZIP
in advertisements

Country:

visible

Phone, fax:

Phone:

* if available

Available by phone:

like phone

E.g.: Mo-Fr from 6:00pm

Phone (office):

Available (office):

like phone
(office)

E.g.: Mo-Fr 8:00am-5:00pm

Mobile:

Fax:

visible

E-Mail, Bank connection:

E-Mail:

* if available

E-mail 2:

Account number:

Bank name & location:

like account
number

Bank ID code:

like account
number

IBAN:

like account
number

SWIFT-BIC:

like account
number

Miscellaneous:

Homepage (URL):

Preferred language:

visible

for correspondence

Knowledge of
additional languages:

visible

Profession:

visible

Desired Password:

invisible

* At least 8 char.,
incl. capital & lowercase
& numbers or special char.

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