BECOME A MEMBER CATEGORIES OF MEMBERSHIP * (See below to get the details.) International Patrons International Patrons - The Contemporaries [1 000 - 2 499 €] International Patrons - The Creative Leaders [2 500 - 4 999 €] International Patrons - The Visionaries [5 000 - 9 999 €] International Patrons - Co-Chairs [10 000 + €] International Patrons - Please enter donation amount Le Cercle Benefactors - 500 € Friends - 250 € Members - 150 € Additional donation CONTACT DETAILS (all fields * are required) Ms * Mr * --- Country* --- Ukraine Slovenia Singapore Russie Pakistan ROYAUME-UNI ITALIE Norway Netherlands Mexico MONACO LUXEMBOURG Korea, Democratic People's Republic Of Japan ETATS-UNIS Israel Ireland Hong Kong Greece France Espagne DANEMARK ALLEMAGNE China SUISSE CANADA Brazil Bulgaria BELGIQUE AUSTRALIE United Arab Emirates I would like to be mentioned on public listings with members of the Cercle du Mona Bismarck American Center under the following name: I do not want to be mentioned on public listings. By CHECK or BANK TRANSFER By PAYPAL (CB) A new web page will open to process your donation through PayPal. Please wait while we submit your request. PAYMENT BY PAYPAL A new web page has opened. If you do not see it, please deactivate your pop-up blocker on your navigator. Thank you for your generosity and support. PAYMENT BY CHECK OR BANK TRANSFER CHECK Payable to « Fonds de Dotation Cercle du Mona Bismarck American Center » BANK TRANSFER Fonds de Dotation Cercle du Mona Bismarck American Center IBAN : FR76 3056 8199 0400 0316 7390 192 BIC : CMCIFRPPXXX BANQUE TRANSATLANTIQUE, PARIS If you want to pay by US dollars and receive an American tax receipt, the check is payable to «Mona Bismarck American Center For Art and Culture» Or you can do a wire Transfer: ABA Routing # 026009593 Bank Name: Bank of America, N.A. Bank Address: 100 West 33rd Street New York, NY 10001 Account #: 6550113516 Account Name: Merrill Lynch For Final Credit: 786-02284, Mona Bismarck American Center for Art and Culture Thank you for your generosity and support.