☰ REGISTRATION
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/
EN
☰
FR
/
EN
X
MAISON
ART
CLUB
X
MAISON
ART
CLUB
MEMBERSHIP APPLICATION
to Circle of Friends of Maison Random
First Name:
Last Name:
Place of Birth:
Date of Birth:
Nationality:
Town of Residence:
Zipcode:
Address:
Country of Residence:
Contact Mail:
Contact Phone:
Occupation:
Company:
IN ORDER TO APPLY FOR MEMBERSHIP YOU WILL NEED TO INCLUDE:
A Clear Recent Headshot
Proof of Age
e.g. Drivers License, Passport or ID card
Upload Document (Image)
Applicants must be over 18 years of age.
Please note that all sections must be completed
in order for this application to be submitted to the committee.
Any application missing information will be deemed incomplete and therefore not to be considered.
Membership fees must be paid upon acceptance.
Date:
Submit
