Gift Membership

One Year of Art

I wish to buy gift membership of the Friends of the Berlinische Galerie:
All fields marked * are required.

Membership *

Friend € 90 p. a.

Friend Plus € 120 p. a.

Young Friends (Jung und Artig) € 30 p. a., with verification *

Family Member € 150 p. a.**

Silver Patron € 200 p. a.

Gold Patron € 400 p. a.

* To qualify as a Young Friend (Jung und Artig) the member must be 30 or under (Please send a verification document by post or email to the Förderverein Berlinische Galerie e.V.)
** Please let us know, how many Kids Cards (until the age of 18) you need.

Duration *

One year (ends automatically after one year)

Permanent (valid until revoked)

Start (date) *

New member details

Company

Ms / Mr *

Surname *

Forename *

Address *

Code *

City *

Country *

Date of birth *

Occupation

Phone

Mobile

E-mail *

Purchaser details

Membership can be terminated up to 30 September each year with effect from 1 January the following year.

Membership subscriptions and donations are tax-deductible. A bank account statement is sufficient for sums up to € 200. For amounts greater than € 200 we will send you a confirmation letter.

Ms / Mr *

Surname (Purchaser details) *

Forename *

Address *

Code *

City *

Country *

Phone

E-mail *

Recipient *

Please send the gift to my address.

Please send the gift to the new member.

Payment *

I will transfer the payment to the account of Förderverein Berlinische Galerie e.V. at Berliner Sparkasse, IBAN: DE97 1005 0000 1130 0075 68, BIC: BELADEBEXXX.

I hereby authorise Förderverein Berlinische Galerie e. V. to debit the payment directly from my account (until further notice).

BIC

Bank

IBAN

Account holder

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