The Official European Kevin Sorbo Fan-Club

Membership Registration Form

Name:
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(z.B. 02 / 06 / 1980)

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Overseas membership fee: € 36.00 money order or PAYPAL / Moneygram.

Please sent cash only by registered mail at your own risk.
The fee is strictly to cover the costs of the production of the Newsletters, Newsflashes and to cover the (unfortunately horrendous) costs for overseas shipment and handling.
European Members fee € 31.00 please check it out how much it is on your country currency. The validity of the membership fee is always from January to December!

Date: _______________________ Signature:__________________________

Clubpresident: Hannelore Mueller
Hannelore  Mueller
P.O.B.   72 02 29
22152 Hamburg, Germany
Phone: 0049-40 - 64 55 20 00, Fax.: 0049-40 - 64 55 20 01
e - mail: Hannelore-Mueller-2006@web.de

Banking:
Hannelore Müller
Hamburger Sparkasse
Bank Code:   200 505 50
Account No.: 1232/525 806