International Biggles Association - Subscription form gift membership

With this form you can present a gift membership to anyone you would to present it to. The gift membership will only be valid for one year. After that period, the subcription will automatically be terminated.

Biggles News Magazine is mostly in Dutch!

Data of the new member:

Surname:
First name(s):
Gender:
Address:
Postal Code:
City:
Country:
Telephone number: (Including country-code)
Fax number: (Including country-code)
E-mail:
Date of birth:
Membership presented by:
Start date membership:

I will pay the € 20,50 subscription fee (Europe) or € 23,00 (outside Europe) by using BIC or IBAN with shared costs*, or in cash by sending the money to the treasurer*:

*The fee can be paid in two ways:
1. By using BIC or IBAN codes:
Account name: Penn IBA . Bank account number 59 17 980 BIC. INGBNL2A IBAN. NL76INGB0005917980 (shared costs)
2. By sending the money to our Treasurer:
Penningmeester I.B.A.
Valkenhof 22
1761 HG Anna Paulowna
the Netherlands

The membership will start when payment is received and will be valid for one year only.

Sending this form is an official apply for I.B.A. membership, which will be honoured upon receival of the compulsory membership and entrance fees.

   




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