Støttemedlem i Seilskipet Statsraad Lehmkuhls Venner / support member of Statsraad Lehmkuhl Friendship Association
Takk for støtten!
* Required
Type medlemskap:
*
Choose
Årsmedlemskap NOK 350 ,- /år
Livsvarig medlemskap NOK 3 500,-/lifetime membership NOK 3 500,-
Bedriftsmedlemskap (intill 100 ansatte) NOK 2 500,- /år
Bedriftsmedlemskap (over 100 ansatte) NOK 5 000,- /år
Foreign membership NOK 500,-/year
Fornavn/first name:
*
Your answer
Etternavn/surname:
*
Your answer
Adresse/address:
*
Your answer
Postnummer/zip code:
*
Your answer
Poststed/city:
*
Your answer
E-postadresse/e-mail address:
*
Your answer
Tlf:
*
Your answer
Alder/age:
*
Choose
Under 25 år/under 25 years:
25 - 55 år:
55 - 80 år:
Over 80 år/over 80 years:
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
