International Red Cross and Red Crescent Museum
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.
Please do not include my name on the list of Friends of the Museum.