Fields marked with an asterisk (*) are mandatory.Membership categorycategory *Instituut I lidmaatschapInstituut II lidmaatschapInstituut III lidmaatschapInstituut IV lidmaatschapInstituut V lidmaatschapInstituut VI lidmaatschapContact dataName institution *Department / attn. to Street *Number *Number suffix Postal, areal code *City *Country Telephone number Contact email address (used for communication) *Email 2 (i.e. work or private) Preferred language of communication *DutchEnglishContact personSalutation *malefemaleFirst name (informal) *Initials Infix Last name Mail addressPost office box Number Postal, areal code City Country Banking dataIBAN (IBAN bankaccount) BIC / SWIFT Name account holder Attn to (i.e. financial dept) OtherNon-museums are required to upload a brief motivation in which they elaborate on the added value of membership for both ICOM and applicant. Check MarksI adhere to ICOM’s Ethical Code *We accept automatic withdrawal of our membership fee by ICOM We agree to processing and usage of our data in accordance with GPRS rules *
