{"id":3941,"date":"2025-09-05T09:54:18","date_gmt":"2025-09-05T07:54:18","guid":{"rendered":"https:\/\/foerderverein-herzzentrum-saar.de\/wordpresshz\/?page_id=3941"},"modified":"2025-11-28T13:30:10","modified_gmt":"2025-11-28T12:30:10","slug":"m-antrag","status":"publish","type":"page","link":"https:\/\/foerderverein-herzzentrum-saar.de\/?page_id=3941","title":{"rendered":"Mitgliedsantrag"},"content":{"rendered":"\r\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\r\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\r\n<p><strong>Unsere Bankverbindung<\/strong><br>\u00a0\u00a0Sparkasse Saarbr\u00fccken<br>\u00a0\u00a0IBAN: DE70590501010016568883<br>\u00a0\u00a0BIC: SAKSDE55XXX<\/p>\r\n<br>\r\n<a href=\".\/wordpresshz\/user\/Doku\/Mitgliedsantrag.pdf\">Mitgliedsantrag PDF-Version<\/a>\r\n<\/div>\r\n\r\n\r\n\r\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\r\n<!DOCTYPE html>\r\n<html>\r\n<head>\r\n<title>Home<\/title>\r\n<meta charset=\"UTF-8\"\/>\r\n<meta http-equiv=\"X-UA-Compatible\" content=\"IE=edge\"\/>\r\n<meta name=\"Generator\" content=\"NetObjects (http:\/\/NetObjects.com)\"\/>\r\n<script type=\"text\/javascript\" src=\"jquery.js\">\r\n<\/script>\r\n<script type=\"text\/javascript\" src=\"navbars.js\">\r\n<\/script>\r\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"fusion.css\">\r\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"site.css\">\r\n<style type=\"text\/css\" title=\"NOF_STYLE_SHEET\">\r\n<style type=\"text\/css\" media=\"screen, projection\">\r\n       * {\r\n         margin: 0;\r\n         padding: 0;\r\n         }\r\n         body {\r\n         font: 0.9em \"Helvetica\";\r\n         }\r\n         fieldset {\r\n         padding: 1em;\r\n         border: 1px solid #000;\r\n         width: 23em;\r\n         margin: 1em;\r\n         }\r\n         label, legend {\r\n         text-transform: ; \/* gro\u00df- \/klein abgeschaltet *\/\r\n         }\r\n         label {\r\n         margin-right: 1.0em; \/*Eingabe von links *\/\r\n         float: left;\r\n         width: 20em; \/* Breit Textfeld *\/\r\n         padding-top: 0.3em;\r\n         text-align: right;\r\n         }\r\n         input {\r\n         \/*display: block;*\/\r\n         font-size: 1em;\r\n         margin-bottom: 0.8em;\r\n         border: 1px solid #000;\r\n         background-color: #d3d3d3;\r\n         padding: 0.1em;\r\n         \/*width: 15em; \/*Breite Inputfeld *\/\r\n         }\r\n<\/style>\r\n<\/head>\r\n<body>\r\n<div style=\"width:750px; height:1150px;border: 1px solid #FFFFFF;\"> <!-- Breite Formular -->\r\n       \t<p><b><font color=\"#850000\">&nbsp;&nbsp;Ich\/Wir mache\/n mit!\r\n\t\t<br>&nbsp;&nbsp;Ich\/Wir m&ouml;chten Mitglied werden<\/font><\/b><\/p>\r\n<form id=\"meinFormular\" method=\"post\" action=\"..\/wordpresshz\/user\/Prog\/A_SendenAIFVHZ.php\">\r\n<input type=\"hidden\" name=\"action\" value=\"custom_form_mail\">\r\n<!----- Beginn der Eingabe ------------------------------------------------------------------------------>\t\t\r\n\t<input type=\"radio\" style=\"width:10pt;\" name=\"Tarif\" value=\"Tarif 36\" required\/>\r\n<label for=\"antrag\">Einzelmitgliedschaft 36,00 &euro;\/Jahr:<\/label><br>\r\n\t<input type=\"radio\" style=\"width:10pt;\" name=\"Tarif\" value=\"Tarif 41\" required\/>\r\n<label for=\"antrag\">Fam.-Mitgliedschaft 2 Pers. 41,00 &euro;\/Jahr:<\/label><br>\r\n\t<input type=\"radio\" style=\"width:10pt;\" name=\"Tarif\" value=\"Tarif JurPers\" required\/>\r\n<label for=\"antrag\">juristische Person 100,00 &euro;\/Jahr:<\/label><br>\r\n<!-- Pers\u00f6nliche Angaben --------------------------------------------------------------------------------->\r\n\r\n<font color=\"#850000\">&nbsp;&nbsp;Pers&ouml;nliche Angaben <small>(*=Pflichtfelder)<\/small>:<\/font> <br>\r\n<!-- Pers\u00f6nliche Angaben --------------------------------------------------------------------------------->\r\n\t<label type=\"text\" for=\"von\">Vorname, Nachame*:<\/label>\r\n\t\t<input type=\"text\" style=\"width:200pt\" name=\"Absender\" value=\"\" size=\"50\" maxlength=\"50\" required\/><br>\r\n<!-------------------->\t\t\r\n\t\t <input type=\"date\" style=\"width:100pt\" name=\"GebDat\" value=\"\" size=\"50\" maxlength=\"50\" required\/>\r\n\t<label for=\"GebDat\">Geburtsdatum*:<\/label><br>\r\n<!-------------------->\t\t   \r\n\t    <input type=\"text\" style=\"width:200pt\" name=\"Strasse\" value=\"\" size=\"50\" maxlength=\"50\" required\/>\t\r\n\t<label for=\"Strasse\">Stra&szlig;e*:<\/label><br>\r\n<!-------------------->\t\t\t\r\n\t\t<input type=\"text\" style=\"width:200pt\" name=\"PLZO\" value=\"\" size=\"50\" maxlength=\"50\" required\/>\r\n\t<label for=\"PLZO\">PLZ, Ort*:<\/label><br>\t    \r\n<!----------------------------------------------------------------------------------------------------------->\t\r\n\t\t<input type=\"tel\" style=\"width:100pt\" name=\"Tel\" value=\"\" size=\"50\" maxlength=\"50\" required\/>\r\n\t<label for=\"Telefon\">Telefon*:<\/label><br>\t \r\n<!----------------------------------------------------------------------------------------------------------->\t\t\r\n\t    <input type=\"email\" style=\"width:200pt\" name=\"mail\" value=\"\" size=\"50\" maxlength=\"50\"\/>\t\r\n\t<label for=\"E-Mail\">E-Mail:<\/label><br>\t\t\r\n<!----------------------------------------------------------------------------------------------------------->\r\n<font color=\"#850000\">&nbsp;&nbsp;Bei Familienmitgliedschaft Partner\/In bitte angeben.<\/font><br>\r\n\t\t<input type=\"text\" style=\"width:200pt\" name=\"PName\" value=\"\" size=\"50\" maxlength=\"50\"\/>\t\r\n\t<label for=\"PNamw\">Vorn.,Nachn.Partn.:<\/label><br>\t\r\n<!-------------------->\t\t  \r\n\t\t<input type=\"date\" style=\"width:100pt\" name=\"PGebDat\" value=\"\" size=\"50\" maxlength=\"50\"\/>\t\r\n\t<label for=\"PGebDat\">Geburtsdat.Partner:<\/label><br>\r\n<!----------------------------------------------------------------------------------------------------------->\t\r\n<font color=\"#850000\">&nbsp;&nbsp;Lastschriftverfahren<\/font><br>\r\n<font color=\"#1c1c1c\">&nbsp;&nbsp;Ich\/Wir m&ouml;chten Lastschrifteinzugsverfahren:<\/font>&nbsp;&nbsp;&nbsp;&nbsp;\r\n\t<td>\r\n\t\t<input type=\"radio\" style=\"width:10pt;\" name=\"LAV\" id=\"LAVJA\" value=\"JA\"\/>JA\r\n\t\t<input type=\"radio\" style=\"width:10pt;\" name=\"LAV\" id=\"LAVNein\" value=\"Nein\"\/>Nein\r\n\t<td\/>\r\n<!----------------------------------------------------------------------------------------------------------->\r\n<br>\r\n<font color=\"#850000\">&nbsp;&nbsp;Bei Lastschriftverfahren bitte angeben<\/font><font color=\"#1c1c1c\"><br>\r\n\t\t<label for=\"Bank\">Bankinstitut:<\/label>\t\r\n\t\t\t<input type=\"text\" style=\"width:200pt\"name=\"Bank\" value=\"\" size=\"50\" maxlength=\"50\"\/>\t\r\n\t\t<label for=\"BIC\">IBAN:<\/label><br>\t\r\n\t\t\t<input type=\"text\" style=\"width:200pt\"name=\"IBAN\" value=\"\" size=\"50\" maxlength=\"50\"\/>\t\r\n\t\t<label for=\"IBAN\">BIC:<\/label><br>\t\r\n\t\t\t<input type=\"text\" style=\"width:100pt\"name=\"BIC\" value=\"\" size=\"50\" maxlength=\"50\"\/>\r\n<div id=\"kontoError\" class=\"error\">Bitte geben Sie Ihre Kontonummer ein.<\/div>\r\n<!----------------------------------------------------------------------------------------------------------->\r\n<br>\r\n<font color=\"#850000\">&nbsp;&nbsp;Meine Spende<\/font><br>\r\n<font color=\"#1c1c1c\">&nbsp;&nbsp;ziehen Sie per Lastschrift ein in H&ouml;he von Euro:<\/label>\t\r\n\t    <input type=\"text\" style=\"width:55pt;\" name=\"Spende1\" value=\"\" size=\"55\" maxlength=\"55\"\/><br>\t\r\n<font color=\"#1c1c1c\">&nbsp;&nbsp;Ich &uuml;berweise meine Spende in H&ouml;he von Euro:<\/label>\t\r\n\t\t\t<input type=\"text\" style=\"width:55pt;\" name=\"Spende2\" value=\"\" size=\"55\" maxlength=\"55\"\/><br>\t\r\n<!----------------------------------------------------------------------------------------------------------->\r\n\r\n<font color=\"#850000\">&nbsp;&nbsp;Spendenquittung<br><\/font>\r\n<font color=\"#1c1c1c\">&nbsp;&nbsp;W&uuml;nschen Sie eine Spendenbescheinigung ?&nbsp;&nbsp;<\/font>\r\n\t\t<td>\r\n\t\t\t<input type=\"radio\" style=\"width:10pt;\" name=\"SpBesch\" id=\"SpJa\" value=\"JA\"\/>JA\r\n\t\t\t<input type=\"radio\" style=\"width:10pt;\" name=\"SpBesch\" id=\"SpNein\" value=\"Nein\"\/>NEIN\r\n\t\t<\/td>\r\n<!----------------------------------------------------------------------------------------------------------->\r\n<br>\r\n<font color=\"#850000\">&nbsp;&nbsp;Datenschutzerkl&auml;rung<\/font>\r\n<br>\r\n<a>&nbsp;&nbsp;Ich habe von dem Datenschutzhinweis <a href=\".\/Datenschutzhinweis.pdf\">(Link)<\/a> Kenntnis genommen und stimme der<br>&nbsp;&nbsp;Speicherung\r\nund Verarbeitung entsprechend dem Datenschutzhinweis zu.<\/a>\r\n<font color=\"#1c1c1c\"><\/font>\r\n\t\t<td>\r\n\t\t\t<input type=\"radio\" style=\"width:10pt;\" name=\"DSGVO\" id=\"DSJa\" value=\"JA\" required\/>JA\r\n\t\t\t<!--input type=\"radio\" style=\"width:10pt;\" name=\"DSGVO\" id=\"DSNein\" value=\"Nein\" required\/>NEIN-->\t\t\r\n            <br>&nbsp;&nbsp;<small>Ohne Zustimmung ist eine Verarbeitung nicht m&oumlglich!<\/small>\r\n        <\/td>\r\n<!----------------------------------------------------------------------------------------------------------->\r\n<br>\r\n   <!-- Rechenaufgabe zur Validierung -->\r\n            <br>\r\n            <label for=\"checkwert\"><font color=\"#850000\">Bitte geben Sie den Wert 17 + 18 ein:<\/label>\r\n            <input type=\"number\" id=\"checkwert\" required style=\"max-width:80px;width:80px;height:25px;\">\r\n            <\/font>\r\n\r\n            &nbsp;&nbsp;&nbsp;\r\n            <button type=\"submit\" id=\"pr\u00fcfenBtn\">Senden<\/button>\r\n                 &nbsp;&nbsp;<button type=\"reset\" id=\"abbruch\">Abbruch<\/button>\r\n    \r\n<br><br>\r\n<a><font color =red><center>Nach Senden bitte auf die Best&auml;tigung warten (zeitverz&ouml;gert)!<\/font><\/center><\/a>\r\n<\/div>\r\n    <script>\r\n        document.addEventListener(\"DOMContentLoaded\", function () {\r\n            const form = document.getElementById(\"meinFormular\");\r\n            const checkwert = document.getElementById(\"checkwert\");\r\n\r\n            \/\/ Verhindern des Formular-Submit-Ereignisses\r\n            form.addEventListener(\"submit\", function (event) {\r\n                const eingabe = parseInt(checkwert.value, 10);\r\n\r\n                \/\/ Pr\u00fcfen, ob die Eingabe korrekt ist\r\n                if (eingabe !== 35) {\r\n                    event.preventDefault(); \/\/ Verhindert das Absenden des Formulars\r\n                    alert(\"Falscher Wert! Bitte geben Sie den genauen Wert ein.\");\r\n                    checkwert.focus(); \/\/ Der Benutzer kann direkt das Eingabefeld erneut ausw\u00e4hlen\r\n                    checkwert.select(); \/\/ Den Text im Eingabefeld ausw\u00e4hlen\r\n                }\r\n            });\r\n        });\r\n    <\/script>\r\n<\/body>\r\n<\/html>\r\n<\/div>\r\n<\/div>\r\n","protected":false},"excerpt":{"rendered":"<p>Unsere Bankverbindung\u00a0\u00a0Sparkasse Saarbr\u00fccken\u00a0\u00a0IBAN: DE70590501010016568883\u00a0\u00a0BIC: SAKSDE55XXX Mitgliedsantrag PDF-Version Home &nbsp;&nbsp;Ich\/Wir mache\/n mit! &nbsp;&nbsp;Ich\/Wir m&ouml;chten Mitglied werden Einzelmitgliedschaft 36,00 &euro;\/Jahr: Fam.-Mitgliedschaft 2 Pers. 41,00 &euro;\/Jahr: juristische Person&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3941","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/foerderverein-herzzentrum-saar.de\/index.php?rest_route=\/wp\/v2\/pages\/3941","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/foerderverein-herzzentrum-saar.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/foerderverein-herzzentrum-saar.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/foerderverein-herzzentrum-saar.de\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/foerderverein-herzzentrum-saar.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3941"}],"version-history":[{"count":15,"href":"https:\/\/foerderverein-herzzentrum-saar.de\/index.php?rest_route=\/wp\/v2\/pages\/3941\/revisions"}],"predecessor-version":[{"id":4089,"href":"https:\/\/foerderverein-herzzentrum-saar.de\/index.php?rest_route=\/wp\/v2\/pages\/3941\/revisions\/4089"}],"wp:attachment":[{"href":"https:\/\/foerderverein-herzzentrum-saar.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3941"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}