Über uns Beitrittserklärung Online-Formular EN – Künstler:innenhaus Lauenburg

MEMBER OF TRÄGERVEREIN

MEMBER OF TRÄGERVEREIN

As an alternative to the online form, you can download the membership application as a PDF (in german) and send it to us by post or we will be happy to send it to you.

Member of the association*

Member of the associationMember of the support groupGive membership as a gift - Please enter the name and address of the recipient at the end of the form.

First name* Last name* Street and house number* Postal code, City* Phone/Mobile* Email*

Date of birth* Amount of annual fee in €*

Debit account: Account holder IBAN BIC

Payment*

Künstler:innenhaus Lauenburg/Elbe e.V.
IBAN DE12230631290000281867
BIC GENODEF1RLB
Subject: Last name, First name, Field (Application for membership or donation)

Please fill in additional form fields!

Get pass* Yes, I would like to receive the card by post.I collect the pass myself.

Yes, I would like to receive a newsletter from the Künstler:innenhaus and the Stadtgalerie Künstler:innenhaus Lauenburg and be informed about the latest announcements and the programme of the house.

Gift membership to: Name and address

If you have any questions about membership or the membership form, please contact us.

Phone +49 (0)4153 592649

info@kuenstlerhaus-lauenburg.de