Application form - Supportive 1 RvT RvB

Applications prior to 1 October will be registered as membership for the current year and the full annual fee will be charged. Applications after 1 October will be registered as membership for the following year.

Velden met een * zijn verplicht.

Membership categoryCategory *

Personal informationSalutation *
First name (given name)
First name (as in official documents) *
Infix
Last name *
Date of birth *
Nationality
Preferred language of communication *
Your ICOM membership number, (if you have you been a ICOM-member in the past)

Contact information

Enter the museum's address here; the invoice will be issued to the museum. The card will be sent to the museum.

On December 31st after the date of resignation, the member will be automatically deregistered

Contact email address (used for communication) *
Email 2
Phone (mobile preferred)
Street *
Number *
Number suffix
Postal/areal code *
City
Country *
Organization *
Current postion *
LinkedIn profile
Einddatum bestuursperiode *

Banking informationIBAN *
Name account holder *

International Committee of Interest

Please visit the ICOM international website to learn more about the various committees. You are invited to join at least one committee when applying for an ICOM NL membership.

International Committee (voting rights)
International Committee of Interest II
International Committee of Interest III

Check marks

Find the Code of Ethics here or read a dutch version here.

I adhere to ICOM’s Ethical Code *
I accept automatic withdrawal of my (annual) membership fee by ICOM *

Bevestiging geen robot

Op dit formulier is een beveiliging actief. Los de som op om verder te gaan, en gebruik cijfers in het antwoord.