NEUES KUNSTHAUS AHRENSHOOP - Declaration of accession


NEUES KUNSTHAUS AHRENSHOOP

Declaration of accession


Hereby I declare my accession to NEW ART HAS FRIENDS with the following contribution:
junior membership (up to 25 years) and artists 25 €
membership for the Künstlerhaus Lukas and Neues Kunsthaus 70 €
Sponsor of an selected project 500 €
Sponsor – supporting one project scholarship 1000 €

Sponsor – supporting one project scholarship 
in collaboration with partners
2000 €
art prize donator during a theme exhibition (also partial amount) 3000 €

I transfer my donation in the amount of:  

under the keyword „New Art has Friends“ + name of the member

to the account of: NEUES KUNSTHAUS AHRENSHOOP
IBAN: DE47150505000537000445

to the account of:

Bank from both: 
Sparkasse Vorpommern
KÜNSTLERHAUS Ahrenshoop e.V.
IBAN: DE25150505000537003363
BIC: NOLADE21GRW

You have the option of collecting authorization.
I hereby give the authorization to collect my contribution.

in ammount of:

 

from my account IBAN

 


BIC

 

bank

 


If you have already send us a debit authorization and do not wish to change your contribution, we will deduct the amount you have specified from your account in February.
I need a donation receipt  

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  name*

  street*

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  town*

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  e-mail*

  date of birth* (DD.MM.YYYY)

  With * marked arrays should be filled!  

  comment    
 

 

 
 

 
       
  date signature  
 

 

security advice!
If you have decided to use direkt debit as method of payment, please use
the print feature of the browser and fax the order to the NEUE KUNSTHAUS AHRENSHOOP, on 03822069414, or send it by post to NEUES KUNSTHAUS AHRENSHOOP + B.-Seitz-Weg 3a + 18347 Ahrenshoop

Neues Kunsthaus Ahrenshoop
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