MEMBERSHIP APPLICATION FORM 2009

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					             MEMBERSHIP APPLICATION FORM 2010/2011
                               ART CLUB INTERNATIONAL
_____________________________________________________________




Proposed by: _______________________
Seconded by: _______________________


Member details
Title: __________________________________________________________________
Given name/s :___________________________________________________________
Family name : ___________________________________________________________


Address : _______________________________________________________________
Postcode and city: ________________________________________________________
Country : _______________________________________________________________


Telephone
Mobile : ________________________________________________________________
Home/office : __________________________/_________________________________
E-mail :_________________________________________________________________


Date and place of birth : __________________ (day, month, year), _________________

                                   ART CLUB INTERNATIONAL
         Club House, Spazio Teatro Contrada Bornago, CH - 6984 Pura/,Lugano - Switzerland
                     Administration, Casa Sole CH – 6986 Curio, Lugano - Switzerland
           tel: +41 (0)91 600 96 16 fax: +41 (0)91 600 96 18 GSM: +41 (0)76 586 05 55
                  E-mail:info@artclubinternational.org     www.artclubinternational.org
Personal interests
Arts :___________________________________________________________________
Music : _________________________________________________________________
Literature : ______________________________________________________________
Theatre : ________________________________________________________________
Film : __________________________________________________________________
Photography : ____________________________________________________________

Floral Art:______________________________________________________________

Interests related to the Club
The club aims to provide exclusive events, please indicate which type of events you my
wish to attend/participate:
◊ Art Seminars, Art workshops (art classes for adults)
◊ Art Library
◊ Concierge service & info (i.e. travel and visit other art clubs and groups)
◊ Junior Art Club (art classes & activities for children ( 5 -18 years)
◊ Club lunches and dinners
◊ Corporate hire and events


Please write down below whatever questions you have regarding the Art Club and
important information you would like to communicate to the Art Club.
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

                                    ART CLUB INTERNATIONAL
          Club House, Spazio Teatro Contrada Bornago, CH - 6984 Pura/,Lugano - Switzerland
                      Administration, Casa Sole CH – 6986 Curio, Lugano - Switzerland
            tel: +41 (0)91 600 96 16 fax: +41 (0)91 600 96 18 GSM: +41 (0)76 586 05 55
                   E-mail:info@artclubinternational.org     www.artclubinternational.org
I am interested in my membership of Arts Club International
(please select level of membership):


◊   Life Member*
◊   Honorary Member*
◊    Founding Member :          ◊ Ebony*           ◊ White*           ◊ Steel*
◊    Member (CHF 200 yearly fee)
   Junior Member ( CHF 50,- yearly fee, only with parental member)
◊    Overseas Member, (CHF 100 yearly fee, max.10 visits per year)
◊    Practitioner/Artist Member

*price on request




Signature, date and place


________________________________________________________________________


Payment:

HSBC Private Bank(Suisse)S.A., Piazza Manzoni 2a, 6900 Lugano - Switzerland

Account Name: Art Club International

Account No.(CHF) 10287480

IBAN CHF CH3208689090110287480           SWIFT: BLICCHGGLUG




                                     ART CLUB INTERNATIONAL
           Club House, Spazio Teatro Contrada Bornago, CH - 6984 Pura/,Lugano - Switzerland
                       Administration, Casa Sole CH – 6986 Curio, Lugano - Switzerland
             tel: +41 (0)91 600 96 16 fax: +41 (0)91 600 96 18 GSM: +41 (0)76 586 05 55
                    E-mail:info@artclubinternational.org     www.artclubinternati
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