Member Application Form - Funeral Fund

Please fill in the form. We will review your details and contact you in writing as soon as possible.

General Information
Contract Holder
Family Members

Here you can enter your legally married spouse and children under 18, or unmarried children in education up to 25.

Fees & Payment Method

The system automatically calculates the registration fee and the first-year annual fee. Annual fee for subsequent years: 65 €.
View registration fee table

Our account number for your bank transfer
VIKZ Sterbefonds gGmbH
GLS Bank
IBAN: DE47 4306 0967 4089 5902 00
BIC: GENODEM1GLS
Legal
Repatriation Supplementary Agreement

Optional: Agreement for repatriation to the home country. Exact terms and fees will be agreed separately with you.

Zusammenfassung Ihrer Angaben

Bitte prüfen Sie Ihre Angaben vor dem Absenden. Bei Bedarf können Sie zurück gehen und Änderungen vornehmen.

Wird beim Wechsel zu diesem Schritt befüllt...
Verification Code
Captcha
Checking required fields...
(*) Required fields