{"id":10865,"date":"2025-12-19T11:27:02","date_gmt":"2025-12-19T10:27:02","guid":{"rendered":"https:\/\/qzm-rn.de\/?page_id=10865"},"modified":"2025-12-19T11:27:05","modified_gmt":"2025-12-19T10:27:05","slug":"mitgliedsantrag","status":"publish","type":"page","link":"https:\/\/qzm-rn.de\/en\/mitgliedsantrag\/","title":{"rendered":"Mitgliedsantrag"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Werde Teil unserer engagierten Community und unterst\u00fctze unsere Arbeit f\u00fcr Vielfalt und Gleichberechtigung. Mit dem ausgef\u00fcllten Mitgliedsantrag bist du dabei. Wir freuen uns \u00fcber dein Interesse!<\/p>\n\n\n\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-10864 forminator-design--basic\" data-forminator-render=\"0\" data-form=\"forminator-module-10864\" data-uid=\"6a1b29b34dfcd\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-10864\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-10864 forminator-design--basic\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"10864\"\n\t\t\t\t data-color-option=\"default\" data-design=\"basic\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a1b29b34dfcd\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">\u00dcber dich<\/h2><hr class=\"forminator-border\" style=\"border: 1px dashed #ab8be5;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_6a1b29b34dfcd\" id=\"forminator-field-first-name-1_6a1b29b34dfcd-label\" class=\"forminator-label\">Nachname <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_6a1b29b34dfcd\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-middle-name-1_6a1b29b34dfcd\" id=\"forminator-field-middle-name-1_6a1b29b34dfcd-label\" class=\"forminator-label\">Vorname\/Rufname <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-middle-name\" placeholder=\"\" id=\"forminator-field-middle-name-1_6a1b29b34dfcd\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"additional-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_6a1b29b34dfcd\" id=\"forminator-field-last-name-1_6a1b29b34dfcd-label\" class=\"forminator-label\">Pronouns <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_6a1b29b34dfcd\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a1b29b34dfcd\" id=\"forminator-field-date-1-picker_6a1b29b34dfcd-label\" class=\"forminator-label\">Geburtsdatum <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"\" id=\"forminator-field-date-1-picker_6a1b29b34dfcd\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd.mm.yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12\"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6a1b29b34dfcd\" id=\"forminator-field-address-1-street_address_6a1b29b34dfcd-label\" class=\"forminator-label\">Stra\u00dfe und Hausnummer <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"\" id=\"forminator-field-address-1-street_address_6a1b29b34dfcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6a1b29b34dfcd\" id=\"forminator-field-address-1-city_6a1b29b34dfcd-label\" class=\"forminator-label\">Ort <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"\" id=\"forminator-field-address-1-city_6a1b29b34dfcd\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6a1b29b34dfcd\" id=\"forminator-field-address-1-zip_6a1b29b34dfcd-label\" class=\"forminator-label\">PLZ <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"\" id=\"forminator-field-address-1-zip_6a1b29b34dfcd\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a1b29b34dfcd\" id=\"forminator-field-email-1_6a1b29b34dfcd-label\" class=\"forminator-label\">E-Mail-Adresse <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a1b29b34dfcd\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a1b29b34dfcd\" id=\"forminator-field-phone-1_6a1b29b34dfcd-label\" class=\"forminator-label\">Telefon <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6a1b29b34dfcd\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"de\" data-validation=\"international\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a1b29b34dfcd\" id=\"forminator-field-text-1_6a1b29b34dfcd-label\" class=\"forminator-label\">Erfahrung im Bereich<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6a1b29b34dfcd\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1b29b34dfcd-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a1b29b34dfcd-label\" class=\"forminator-label\">Ich m\u00f6chte aktiv werden im<\/span><label id=\"forminator-field-checkbox-1-1-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-1-1-6a1b29b34dfcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Team Cafe\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"one\" id=\"forminator-field-checkbox-1-1-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-1-1-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Team Cafe<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-1-2-6a1b29b34dfcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Team Technik\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"two\" id=\"forminator-field-checkbox-1-2-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-1-2-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Team Technik<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-1-3-6a1b29b34dfcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Team Finanzen\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Baustein-Social-Media\" id=\"forminator-field-checkbox-1-3-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-1-3-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Team Finanzen<\/span><\/label><label id=\"forminator-field-checkbox-1-4-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-1-4-6a1b29b34dfcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Team Veranstaltung\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Baustein-Sponsoring\" id=\"forminator-field-checkbox-1-4-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-1-4-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Team Veranstaltung<\/span><\/label><label id=\"forminator-field-checkbox-1-5-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-1-5-6a1b29b34dfcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Team Social Media\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Baustein-Awareness\" id=\"forminator-field-checkbox-1-5-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-1-5-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Team Social Media<\/span><\/label><label id=\"forminator-field-checkbox-1-6-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-1-6-6a1b29b34dfcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Ich wei\u00df es nicht\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Baustein-Barrierearmut\" id=\"forminator-field-checkbox-1-6-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-1-6-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ich wei\u00df es nicht<\/span><\/label><label id=\"forminator-field-checkbox-1-7-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-1-7-6a1b29b34dfcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Bitte ruf mich zur\u00fcck\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Bitte-ruf-mich-zur\u00fcck\" id=\"forminator-field-checkbox-1-7-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-1-7-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Bitte ruf mich zur\u00fcck<\/span><\/label><label id=\"forminator-field-checkbox-1-8-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-1-8-6a1b29b34dfcd\" class=\"forminator-checkbox forminator-checkbox-inline\" title=\"Ja, und zwar so\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"custom_option\" id=\"forminator-field-checkbox-1-8-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-1-8-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ja, und zwar so<\/span><\/label><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-field-checkbox-1-8-6a1b29b34dfcd\" name=\"custom-checkbox-1\" aria-labelledby=\"forminator-field-checkbox-1-8-6a1b29b34dfcd-label\" class=\"forminator-input\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-2\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-2-6a1b29b34dfcd-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-2-6a1b29b34dfcd-label\" class=\"forminator-label\">Newsletter<\/span><label id=\"forminator-field-checkbox-2-1-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-2-1-6a1b29b34dfcd\" class=\"forminator-checkbox\" title=\"Ja, ich m\u00f6chte den Newsletter erhalten.\"><input type=\"checkbox\" name=\"checkbox-2[]\" value=\"one\" id=\"forminator-field-checkbox-2-1-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-2-1-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ja, ich m\u00f6chte den Newsletter erhalten.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Mitgliedsbeitrag<\/h2><hr class=\"forminator-border\" style=\"border: 1px dashed #ab8be5;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p>Das Queere Zentrum Mannheim ist solidarisch finanziert. Alle zahlen so viel vom Nettoeinkommen wie sie k\u00f6nnen und m\u00f6chten.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6a1b29b34dfcd-label\"><span id=\"forminator-radiogroup-radio-2-6a1b29b34dfcd-label\" class=\"forminator-label\">Ich beteilige mich mit einem monatlichen Beitrag von <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6a1b29b34dfcd\" class=\"forminator-radio\" title=\"2,50 \u20ac Solibeitrag\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">2,50 \u20ac Solibeitrag<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6a1b29b34dfcd\" class=\"forminator-radio\" title=\"5,00 \u20ac (60 \u20ac\/Jahr) - Monatsnettoeinkommen bis 1.000 \u20ac\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">5,00 \u20ac (60 \u20ac\/Jahr) &#8211; Monatsnettoeinkommen bis 1.000 \u20ac<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-6a1b29b34dfcd\" class=\"forminator-radio\" title=\"7,50 \u20ac (90 \u20ac\/Jahr) - Monatsnettoeinkommen bis 2.000 \u20ac\"><input type=\"radio\" name=\"radio-2\" value=\"7,50-\u20ac-(90-\u20ac-Jahr)---Monatsnettoeinkommen-bis-2.000-\u20ac\" id=\"forminator-field-radio-2-3-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">7,50 \u20ac (90 \u20ac\/Jahr) &#8211; Monatsnettoeinkommen bis 2.000 \u20ac<\/span><\/label><label id=\"forminator-field-radio-2-label-4\" for=\"forminator-field-radio-2-4-6a1b29b34dfcd\" class=\"forminator-radio\" title=\"10,00 \u20ac (120 \u20ac\/Jahr) - Monatsnettoeinkommen bis 3.000 \u20ac\"><input type=\"radio\" name=\"radio-2\" value=\"10,00-\u20ac-(120-\u20ac-Jahr)---Monatsnettoeinkommen-bis-3.000-\u20ac\" id=\"forminator-field-radio-2-4-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-radio-2-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">10,00 \u20ac (120 \u20ac\/Jahr) &#8211; Monatsnettoeinkommen bis 3.000 \u20ac<\/span><\/label><label id=\"forminator-field-radio-2-label-5\" for=\"forminator-field-radio-2-5-6a1b29b34dfcd\" class=\"forminator-radio\" title=\"15,00 \u20ac (180 \u20ac\/Jahr) - Monatsnettoeinkommen bis 4.000 \u20ac\"><input type=\"radio\" name=\"radio-2\" value=\"\u20ac-(180-\u20ac-Jahr)---Monatsnettoeinkommen-bis-4.000-\u20ac\" id=\"forminator-field-radio-2-5-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-radio-2-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">15,00 \u20ac (180 \u20ac\/Jahr) &#8211; Monatsnettoeinkommen bis 4.000 \u20ac<\/span><\/label><label id=\"forminator-field-radio-2-label-6\" for=\"forminator-field-radio-2-6-6a1b29b34dfcd\" class=\"forminator-radio\" title=\"17,50 \u20ac (210 \u20ac\/Jahr) - Monatsnettoeinkommen bis 5.000 \u20ac und mehr\"><input type=\"radio\" name=\"radio-2\" value=\"17,50-\u20ac-(210-\u20ac-Jahr)---Monatsnettoeinkommen-bis-5.000-\u20ac-und-mehr\" id=\"forminator-field-radio-2-6-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-radio-2-label-6\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">17,50 \u20ac (210 \u20ac\/Jahr) &#8211; Monatsnettoeinkommen bis 5.000 \u20ac und mehr<\/span><\/label><label id=\"forminator-field-radio-2-label-7\" for=\"forminator-field-radio-2-7-6a1b29b34dfcd\" class=\"forminator-radio\" title=\"Wir m\u00f6chten als Unternehmen beitreten. Bitte ruf zur\u00fcck!\"><input type=\"radio\" name=\"radio-2\" value=\"Wir-m\u00f6chten-als-Unternehmen-beitreten.-Bitte-ruf-zur\u00fcck!\" id=\"forminator-field-radio-2-7-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-radio-2-label-7\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Wir m\u00f6chten als Unternehmen beitreten. Bitte ruf zur\u00fcck!<\/span><\/label><label id=\"forminator-field-radio-2-label-8\" for=\"forminator-field-radio-2-8-6a1b29b34dfcd\" class=\"forminator-radio\" title=\"Anderer Beitrag\"><input type=\"radio\" name=\"radio-2\" value=\"custom_option\" id=\"forminator-field-radio-2-8-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-radio-2-label-8\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Anderer Beitrag<\/span><\/label><div class=\"forminator-field forminator-custom-input\"><input id=\"custom-forminator-field-radio-2-8-6a1b29b34dfcd\" name=\"custom-radio-2\" aria-labelledby=\"forminator-field-radio-2-label-8\" class=\"forminator-input\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_6a1b29b34dfcd\" id=\"forminator-field-number-1_6a1b29b34dfcd-label\" class=\"forminator-label\">F\u00f6rdermitgliedschaft: Ich will mit folgenden Beitrag das Queere Zentrum Mannheim monatlich oder im Jahr f\u00f6rdern<\/label><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_6a1b29b34dfcd\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"0\" max=\"9999\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-4\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-4-6a1b29b34dfcd-label\"><label id=\"forminator-field-checkbox-4-1-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-4-1-6a1b29b34dfcd\" class=\"forminator-checkbox\" title=\"Ich bin minderj\u00e4hrig oder habe eine gesetzliche Vertretung.\"><input type=\"checkbox\" name=\"checkbox-4[]\" value=\"one\" id=\"forminator-field-checkbox-4-1-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-4-1-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ich bin minderj\u00e4hrig oder habe eine gesetzliche Vertretung.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><label class=\"forminator-label\">Gesetzliche Vertretung<\/label><p>F\u00fcr die Aufnahme minderj\u00e4hriger Personen oder anderer Personen mit gesetzlicher Vertretung braucht es die Zustimmung dieser.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a1b29b34dfcd\" id=\"forminator-field-text-6_6a1b29b34dfcd-label\" class=\"forminator-label\">Name der gesetzlichen Vertretung <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_6a1b29b34dfcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-5\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">SEPA-Lastschriftmandat<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><p>Ich\/wir erm\u00e4chtige(n) das Queere Zentrum Mannheim e.V., Zahlungen von meinem\/unserem Konto mittels Lastschrift einzuziehen. Zugleich weise(n) ich\/wir mein\/unser Kreditinstitut an, die vom Queeren Zentrum Mannheim e.V. (Gl\u00e4ubiger-Identifikationsnummer: DE86ZZZ00002367840, Mandatsreferenz wird separat mitgeteilt) auf mein\/unser Konto gezogenen Lastschriften einzul\u00f6sen.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a1b29b34dfcd\" id=\"forminator-field-text-2_6a1b29b34dfcd-label\" class=\"forminator-label\">IBAN <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"DE\" placeholder=\"\" id=\"forminator-field-text-2_6a1b29b34dfcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a1b29b34dfcd\" id=\"forminator-field-text-3_6a1b29b34dfcd-label\" class=\"forminator-label\">BIC <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6a1b29b34dfcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p><strong> Hinweis:<\/strong> Ich kann\/Wir k\u00f6nnen innerhalb von acht Wochen, beginnend mit dem Belastungsdatum, die Erstattung des belasteten Betrags verlangen. Es gelten dabei die mit meinem\/unserem Kreditinstitut vereinbarten Bedingungen.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-4\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-4-picker_6a1b29b34dfcd\" id=\"forminator-field-date-4-picker_6a1b29b34dfcd-label\" class=\"forminator-label\">Ich m\u00f6chte Mitglied werden ab <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-4\" value=\"30.05.2026\" placeholder=\"Datum w\u00e4hlen\" id=\"forminator-field-date-4-picker_6a1b29b34dfcd\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd.mm.yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-5\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-5-6a1b29b34dfcd-label\"><label id=\"forminator-field-checkbox-5-1-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-5-1-6a1b29b34dfcd\" class=\"forminator-checkbox\" title=\"Ich beantrage hiermit meine Mitgliedschaft im Queeren Zentrum Mannheim e.V..\"><input type=\"checkbox\" name=\"checkbox-5[]\" value=\"one\" id=\"forminator-field-checkbox-5-1-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-5-1-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ich beantrage hiermit meine Mitgliedschaft im Queeren Zentrum Mannheim e.V..<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a1b29b34dfcd\" id=\"forminator-field-text-4_6a1b29b34dfcd-label\" class=\"forminator-label\">Ort <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6a1b29b34dfcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6a1b29b34dfcd\" id=\"forminator-field-date-2-picker_6a1b29b34dfcd-label\" class=\"forminator-label\">Datum <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"30.05.2026\" placeholder=\"Datum w\u00e4hlen\" id=\"forminator-field-date-2-picker_6a1b29b34dfcd\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd.mm.yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Datenschutzbestimmungen<\/h2><hr class=\"forminator-border\" style=\"border: 1px dashed #ab8be5;\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><p>In accordance with \u00a7 33 of the Federal Data Protection Act, we would like to point out that the member data specified above is stored, processed and used in automated files for the purpose of member administration and support. We require your consent to this data processing in order to be able to check your membership application. The declaration of consent is voluntary. However, we would like to point out that it is not possible to apply for membership without the required consent.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12\"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-6a1b29b34dfcd-label\"><label id=\"forminator-field-checkbox-3-1-6a1b29b34dfcd-label\" for=\"forminator-field-checkbox-3-1-6a1b29b34dfcd\" class=\"forminator-checkbox\" title=\"Ich bin mit den Datenschutzbestimmungen einverstanden.\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"one\" id=\"forminator-field-checkbox-3-1-6a1b29b34dfcd\" aria-labelledby=\"forminator-field-checkbox-3-1-6a1b29b34dfcd-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Ich bin mit den Datenschutzbestimmungen einverstanden.<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12\"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><p><br><strong>Widerrufsrecht:<\/strong> Die Einwilligung kann jederzeit ohne Angabe von Gr\u00fcnden widerrufen werden. Um den Widerruf auszu\u00fcben, nutzen Sie bitte eine der in unserer Datenschutzerkl\u00e4rung aufgef\u00fchrten Kontaktm\u00f6glichkeiten. Sie k\u00f6nnen die Datenschutzerkl\u00e4rung unter www.qzm-rn.de\/datenschutz<br>einsehen. Durch den Widerruf der Einwilligung wird die Rechtm\u00e4\u00dfigkeit der aufgrund der Einwilligung bis zum Widerruf erfolgten Verarbeitung nicht ber\u00fchrt.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a1b29b34dfcd\" id=\"forminator-field-text-5_6a1b29b34dfcd-label\" class=\"forminator-label\">Ort <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_6a1b29b34dfcd\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_6a1b29b34dfcd\" id=\"forminator-field-date-3-picker_6a1b29b34dfcd-label\" class=\"forminator-label\">Datum <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"30.05.2026\" placeholder=\"Datum w\u00e4hlen\" id=\"forminator-field-date-3-picker_6a1b29b34dfcd\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd.mm.yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Absenden<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"8d90912de2\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/10865\" \/><input type=\"hidden\" name=\"form_id\" value=\"10864\"><input type=\"hidden\" name=\"page_id\" value=\"10865\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/qzm-rn.de\/en\/mitgliedsantrag\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_22\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_22\" type=\"text\" name=\"input_22\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form><\/div>","protected":false},"excerpt":{"rendered":"<p>Werde Teil unserer engagierten Community und unterst\u00fctze unsere Arbeit f\u00fcr Vielfalt und Gleichberechtigung. Mit dem ausgef\u00fcllten Mitgliedsantrag bist du dabei. Wir freuen uns \u00fcber dein Interesse!<\/p>","protected":false},"author":10,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_tec_requires_first_save":true,"_eb_attr":"","neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","iawp_total_views":88,"footnotes":""},"class_list":["post-10865","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/qzm-rn.de\/en\/wp-json\/wp\/v2\/pages\/10865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/qzm-rn.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/qzm-rn.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/qzm-rn.de\/en\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/qzm-rn.de\/en\/wp-json\/wp\/v2\/comments?post=10865"}],"version-history":[{"count":2,"href":"https:\/\/qzm-rn.de\/en\/wp-json\/wp\/v2\/pages\/10865\/revisions"}],"predecessor-version":[{"id":10868,"href":"https:\/\/qzm-rn.de\/en\/wp-json\/wp\/v2\/pages\/10865\/revisions\/10868"}],"wp:attachment":[{"href":"https:\/\/qzm-rn.de\/en\/wp-json\/wp\/v2\/media?parent=10865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}