Membership Application
Forschungsgemeinschaft Nordische Staaten e.V. im BDPh e.V.
First- and Surname*:
Street*:
ZIP Code and Location*:
Country:
Birth Date (dd.mm.yyyy)*:
Profession:
Telefon 1*:
Telefon 2:
Fax:
eMail:
Homepage (URL):
I am a member of the following
Study Groups
Societies:
I am a member of the following
foreign
Societies/Clubs:
I am collecting
(more than one answer
is possible)*:
Denmark
Faroes
Greenland
Danish West Indies
Slesvig
Finland
Åland
Iceland
Norway
Sweden
Nordic Polar Post
Ship Letters
I am applying, referring to:
personal recommendation by Mr./Mrs.
printed news in (title of journal)
Publication of the (short title)
philatelic event (which)
Homepage of the FG (dictly or via link)
Additional Remarks
to the FG
(Ordering Publications, etc.
please by "Feedback"):
Membership Application beginning
01. january 2011 - annual fees 26,00 EURO
01. january 2012 - annual fees 26,00 EURO
Payment:
transfer of the amount to the account of the FG.
in notes.
with PayPal (only by request).
(All transfer-fee pay the sender!)
A/C:
FG Nordische Staaten e.V., Nr. 541 482 107 (BLZ 100 100 10), Postbank Berlin
BIC: PBNKDEFF - IBAN: DE05 1001 0010 0541 4821 07
I will become a member of the FG NORDISCHE STAATEN as soon as the fees are received.
Form:
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