Application for membership in the
1st German MINOX-Club r.a.

I want to join the 1st German MINOX-Club r.a. My membership fee amounts to EURO 30. I will settle it on January 1st of every year in advance. I can close my membership at the end of the year with a delay of three months by sending my withdrawal to the executive committee.



New application
Changement of application *
* Membership-number:
User
Collector
Miscellaneous:
yes

no		 I agree that my address is forwarded to MINOX in order to receive information about new products in time.
Name:
Prename:
Street:
P.O. Box:
Town:
Country:
Phone:
Fax:
e-mail:
The collection of the membership fee should be made by direct debit if possible in order to have lower administrative expense. In particular cases the amount can also be transferred to the account of the association. Foreign members should pay by Euro cheque (issued in EURO) or send the amount by mail.
Comment: