Become a Friend of the Museum - International Red Cross and Red Crescent Museum

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			FRIENDS OF THE MUSEUM



	Credits

MEMBERSHIP APPLICATION FORM


		Name (Mr/Mrs/Ms): *
		First name: *
		Address: *
		Zip code: *
		Place: *
		Tel:
		Fax:
		E-mail:

I wish to join the Association of Friends of the International Red Cross and Red Crescent Museum.

	Individual member	CHF 100.-
	Couple	CHF 150.-
	Young member (up to 25 years)	CHF 50.-
	Supporting member	CHF 250.-
	Donor	CHF 500.-
	Sponsor	CHF 1'000.-
	Life member	CHF10'000.-

	Please send me a postal order (only in Switzerland).
	I am transferring the amount to the Credit Suisse, Geneva. Account No. 168313-61 AMICR SWIFT code : CRESCHZZ12A IBAN : CH80 0483 5016 8313 6100 0
	Please do not include my name on the list of Friends of the Museum.