The Society of Friends of the Jewish Museum in Prague

Electronic form

Application form – Society of the Friends of the Jewish Museum in Prague

Name, surname, title

Address

City / town / Country

Postal code / Zip Code

Date of birth

E-mail

Telephone

Membership category

Indicate the means of payment: by bank transfer to bank acc. no. 10426398/6200,
      variable symbol 2009, give your name for easy
      identification
in person at the Museum’s Finance Department

Note

  I agree to the terms and conditions