Business Registration Form

Membership Category

Individual Membership Student Membership Family Membership Gold Membership VIP Membership

Business Owner *

First Name Last Name

Date of Birth *

Adress *

Address Line

City Country

Postal Code

GSM Number *

E-mail *

example@example.com

Web Site (Optional)

Workplace Address (Optional)

Adress Line

City Country

Postal Code

First Name Last Name

Date of Birth

E-Mail

GSM Number

How did you hear about the membership program?

Wh,ite Art Berlin Website Facebook Museum Box Office Twitter Instagram Other

Bank Account Information:

Berliner Sparkasse

BIC: BELADEBEXXX

IBAN: DE66100500000190979062

Please indicate in the "Description" section, along with your name and surname, that there is an amount related to the membership contribution fee when making a bank transfer.

Explanation

You can receive your membership card and invoice for your payment from the museum box office on your first visit to our museum. Your membership period is one (1) year from the date the membership fee is transferred to White Art Berlin accounts. By sending this form to White Art Berlin, I declare that I have read and accepted the points in the whole form and especially in the Explanations section.

For more information and questions: Phone +49 173 5702110

White Art Berlin Membership Form

Workplace Information

Gift Membership - Gifting