| Membership   
| I would like to join the 'Orpheus Trust - non-profit organization dedicated to researching and promoting persecuted and forgotten art' as a |  
| O | member (membership fee EUR 25,-) |  
| O | student (membership fee EUR 10,-) |  
| O | friend (minimum donation EUR 75,-) |  
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| Our members receive a newsletter four times a year and, if possible, reduced entrance fees for our concerts. Friends additionally two free tickets a year for one of our events. |  
| I agree to the statutes and remit the membership fee for the year 2025 / my donation of EUR __________to the account no. 659119309, Bank Austria, BLZ 20151, IBAN: AT 72 1200 0006 5911 9309, BIC: BKAUATWW |  
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| O | Please send me the statutes first. |  
| O | I would like to be informed of the organisation's activities. |  
| O | I would like to be involved in another way: |  
| ______________________________ |  
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| O | I agree that my name and my address can be published on an internal member list. |  
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| last name | ______________________________ |  
| first name | ______________________________ |  
| street address | ______________________________ |  
| postal code | ______________________________ |  
| city | ______________________________ |  
| country | ______________________________ |  
| telephone | ______________________________ |  
| fax | ______________________________ |  
| e-mail | ______________________________ |  
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| profession | ______________________________ |  
| area of interest | ______________________________ |  
|  |  |   | Please fax this form to: +43 1 526 80 92 |  
 
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