Membership of Viemose Mill Guild

Dues: 

 

Single person membership     150.00 Dkr. Annually

 

Household membership          200.00 Dkr. Annually

 

Business membership            500.00 Dkr. Annually

 

The amount can be deposited on the Mill Guild’s account:

 

6220 6611683 in the Lollands Bank,

 

by mobile pay: 14 439

 

OR by cash to the treasurer or chairman.

 

 

 

 

 

Print and clip here ...............................................................................................................................................................................

 

 

Registered in the Viemose Mill Guild: ________________________________________________     Date _________________

 

 

Date: ______________  For amount of Dkr.  ______________  Signature for receipt: __________________________________

 

 

Name: ______________________________________________________________________

 

 

Adresse: ____________________________________________________________________

 

 

Telephone no. _________________________   Cell Phone no. _________________________

 

 

Email: ______________________________________________________________________

 

 

 

Check: Personal         Household        Business

 

Dues paid cash          Dues paid bank deposit

 

 

 

 

 

 

 

 

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Treasurer: Laila S. Juhl  •  Løvspringsvej 2 A, 2. tv., 2920 Charlottenlund  •  Mobile: 2482 7285  •  mail: lsjuhl@mail.dk