Agreement DeclarationPlease print the following, to send by fax or mail.
I hereby declare a supporting membership for the Name, Last Name: .................................................................................................. Address: ..................................................................................................................... City, Country: ........................................................................................................... Telephone Number: .............................................................................
Individual membership with an annual contribution of EUR 60.- ________________________________________________________ Transfers made to: Kinder-Kunst-Museum e.V. Direct Debit Authorization:
I hereby authorize the Kinder-Kunst-Museum e.V. Bank Name: ..................................................................................................... Account Number: ................................................................................ Routing Number: ................................................................................. The Debit Authorization is valid until further notice and may be, at any time, revoked by writing.. __________________________________________________________
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Charter of Kinder-Kunst-Museum e.V.§1 Name, location, fiscal year and membership |