Your last name*

Your first name*

Your email address*

Your Date of Birth*

House*
WIST BarbaraWIST BrunoWIST ErnstWIST JohannaWIST Franz - OÖ-Heim

Room / Flat No:*

I want to modify the following data:

Contact detailsMain residenceBank account change

[group group-kontaktdaten]
Email address:

Phone number:

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[group group-hauptwohnsitz]
Street and house no.*

Postal code*

City*

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[group group-zahlungspflichtiger]
Name*

IBAN*

BIC*

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