Formular

Declaration of membership to SMart e. Gen.
Mr./ Mrs./ Company
Date of birth
Only for natural persons
Profession/ Legal form
For natural / legal persons
Residential address
Only for natural persons
Business address
Company register / association number
For legal entities and associations
E-mail address
Telephone number
declares to join the SMart e.Gen., 1060 Wien, Gumpendorfer Straße 63b, as a member and to
accept the provisions of the statutes and decisions of the General Assembly.
Amount of shares:
One share is 50 €
We ask for payment of the sum of shares to the following account:

IBAN: AT402011182747347900, BIC: GIBAATWW denominated in SMart e.Gen.
Shares are private assetsShares are business assets
________________________________ __________________________________________

Date Signature / Company signing
1. "Print form" and then "Send"

2. Sign the printed form and send to us via post, or scanned via email
To be completed by SMart:

Acceptance/ rejection according to meeting log of ______________

Entry in the register of members on _____________ Membership no. _________
Should be Empty:

Declaration of membership to SMart e. Gen.