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SINFONIETTA SUPPORTER MEMBERSHIP
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BINDING REGISTRATION
I would like to become a member of the Sinfonietta Supporter program and am registering here:
Individual membership Sinfonietta Supporter CHF 100.–
Membership fees and donations are tax-deductible in the canton of Basel-Stadt (as in other cantons).
We would like to become a member of the Sinfonietta Supporter program and are registering here:
Couple membership CHF 140.–
Membership fees and donations are tax-deductible in the canton of Basel-Stadt (as in other cantons).
YOUR INFORMATION
First name Name*
Birth date*
First name/Last name (Partner)
Date of birth (partner)
Street/Number*
ZIP / City*
Phone*
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Date*
Schützenmattstrasse 43, CH-4051 Basel
+41 (0)61 315 10 30
info@baselsinfonietta.ch
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