Registration form for Membership

Contribution Selection

I / We wish to join the Freunde des Tel Aviv Museum of Art as a

I would like to take on a child sponsorship for one year (350 EUR).

We appreciate your donation. By contributing, you are supporting our peace project
'The Art Road to Peace', which will benefit 100% from your donation.

I would like to make a one-time donation of €

Donation in EUR

I will transfer the donation to the bank account of the Freunde des Tel Aviv Museum of Art, Deutschland e.V.
(bank details:
Donner & Reuschel
IBAN DE31 2003 0300 0099 8840 00,
BIC CHDBDEHHXXX).

I hereby authorize the Freunde des Tel Aviv Museum of Art, Deutschland e.V.
dto debit the annual contribution from my / our bank account until further notice.

Contact Details

Corporate Name

Salutation

Title

Date of Birth

First name

Last name

Postal code

City

Street Address

Country

Abteilung im Unternehmen

Position im Unternehmen

Telephone

Second Telephone

Mobilephone

Fax

E-Mail

Website

SEPA Direct Debit Mandate

I hereby authorize Freunde des Tel Aviv Museum of Art, Deutschland e.V. to collect payments from my account by direct debit. At the same time, I instruct the financial institution indicated below to debit the membership fee from my account until further notice.

Note: You may request a refund of the debited amount within 8 weeks from the date of the debit. The terms and conditions agreed with your financial institution shall apply.

Account Holder

IBAN

BIC code

Data Protection & Consent Declaration

Articles of Association and Data Protection Notice:
I have read the Articles of Association and consent to the processing of my personal data for purposes related to the membership.
I have read and accept the Data Protection Notice.
This consent can be revoked at any time with effect for the future.

I confirm that all the above information has been provided truthfully and grant permission to carry out the SEPA direct debit for the selected contribution.

The membership may be terminated at the end of each year, subject to a notice period of three months.

Freunde des Tel Aviv Museum of Art, Deutschland e.V. | Pienzenauerstraße 88 | 81925 München