Membership form

	Annual dues	Standing order
Associate Member	€ 50	€ 45
Associate Member & Partner (2 membership cards)	€ 75	€ 70
Supporting Member	€ 100	€ 90
Supporting Member & Partner (2 membership cards)	€ 150	€ 140
Patron *	€ 100 + € 150	€ 90 + € 150
Patron & Partner * (2 membership cards)	€ 150 + € 150	€ 140 + € 150
* Supporting members who, in addition to their membership dues, remit a donation of at least € 150 on the account of Fonds des Amis des Musées, BE81 6790 7542 9624/PCHQBEBB, will be recognized as Patrons of the Museums.
Family: 2 Parents or Grandparents + 2 children < 18 year	€ 85	€ 80
Duo (Member + guest for each visit)	€ 200	€ 190
Young Friend (18 - 25 year)	€ 20	€ 18

Choose your membership type and fill out the form below.

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Membership category*

Would you like to opt for a standing order and benefit from a discount?*

Your contact information*

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Contact information 2*

First Last

Child 1*

Date of birth*

Child 2*

Date of birth*

Your address*

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IF THIS REGISTRATION IS A GIFT, please send the confirmation email to the donor's email address.

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Comments

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I will transfer the membership amount to the Friends of the Museums’ bank account number BE32 3631 2340 9302 / BBRUBEBB “asbl Amis des Musées”

You may also wish to make a tax-deductible donation to the Funds for the Friends of the Museums’ bank account numberBE81 6790 7542 9624 / BIC PCHQBEBB
“Fonds des Amis des Musées”.

A donation of 150+ € (on top of the membership fee) will make you a patron.