vrienden

I would like to become a Friend: I would like to become a Friend: Damiaatje from € 30 per year Damiaatje with partner from € 50 per year Gatekeeper from € 100 per year Goudsmid from € 500 per year for a period of 5 years (we will contact you about the agreement)

First name and surname

M / F M / F M V

Date of Birth

Street

Postal Code

Location

Phone

E-mail

I authorize Verwey Museum Haarlem in front of: I authorize Verwey Museum Haarlem in front of: € 30 per year € 50 per year € 100 per year A different amount per year until further notice

IBAN

Date(s)