Membership application form

Title
 
First name
 
Last name
 
Address
 
Postcode
 
City
 
Country
 
Telephone
 
Email
Date of birth (optional)
Levels of membership
Diamond €3000
?
Gold €1500
?
Silver €500
?

AND/OR

I would like to make a donation (and benefit from a tax reduction of 45%)
Donation of (€)
Bank details: BE25 6790 0495 5282 / BIC PCHQBEBB
In the communication box, enter “Maecenas Circle” and your name (Please make a separate payment for a donation, entering “donation” in the communication box)

If you wish to pay through a company, please use the bank account of the company and send us the contact details and the vat number in order to receive an invoice

Name of company
Address
Postcode
City
Country
Telephone
VTA number

The Royal Museums of Fine Arts of Belgium are committed to processing personal data in accordance with the provisions of the general regulation EU2016/679 (GDPR) and the law of 30 July 2018 relating to the protection of individuals with regard to the processing of personal data or any other legislative act which modifies it.

I agree to the general conditions and the privacy policy https://www.fine-arts-museum.be/en/legal-statement/
I agree that my name is mentioned in the acknowledgements published in the Maecenas Circle newsletter.
I wish to subscribe to the Maecenas Circle newsletter, which communicates exclusive activities organized for patrons and projects that are funded due to your support, as well as general information about the Museums