n.b.k. Membership Application

neuer.berliner.kunstverein.e.V.

Chausseestraße 128/129 — 10115 Berlin — +49 [0]30 280 70 20 /21 /22 /fax 19 — nbk@nbk.org

Anual membership fee *

45 Euro Single membership

15 Euro Reduced membership

55 Euro Couple membership

150 Euro Associate membership

* Subscription by calendar year. Membership fees are tax-deductible.

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I would like to become a member of Neuer Berliner Kunstverein.

Place, Date Signature

Name

Day of birth Place of birth

Adress

Telephone Mobile

E-Mail

Do you wish to receive our newsletter on n.b.k.’s general activities as well?

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The information above is needed in order to stay in contact with you. We’ll inform you approx. once a month about n.b.k.’s exclusive events for members. All data provided to us with this form will be filed in our member database in compliance with legal regulations. Any use of the data is made exclusively in relation to your membership and in compliance with the appli-cable data protection laws. For more information on the privacy policy of n.b.k. visit our website www.nbk.org.