Vereniging MARTIJN - Order and donation form

Vereniging MARTIJN order and donation form

You can print out this form and send it to Vereniging MARTIJN, Postbus 93548, 1090 EA Amsterdam, The Netherlands

Name		____________________
Address		____________________
City and zip code		____________________
Country		____________________
E-mail address		____________________

I would like to become an e-mail member (only fill in above an e-mail address and include the money) (€ 15,00).

I would like to become a post member (fill in above your name and address) (€ 15,00).
* Members will receive four times a year the MARTIJN Newsletter (in Dutch) and they support also other activities like our web site.

And/or

I would like to order the following issues of OK magazine: ____________________

OK magazine is a Dutch magazine. No translations will be shipped! If an English translation is available then you must print it yourself.
OK magazine can contain nude pictures of children.

Number(s)	Prize
1-13	SOLD OUT
14	3,00
15-16	SOLD OUT
17	3,00
18-32	SOLD OUT
33-36	3,00
37-38	SOLD OUT
39/40	3,00
41	SOLD OUT
42-56	3,00
57	SOLD OUT
58-82	3,00
83/84	3,00
85-91	3,00
92-94	SOLD OUT

39/40 and 83/84 are double issues.
Less then 3 OK's then shipping costs: 2 Euro. Three or more OK's: no shipping costs.
Issues that are sold out are no longer available.

The amount of my OK magazine order is € ________

And/or

I would like to donate € ________ to Vereniging MARTIJN.

The total amount of my order is € ________

I will transfer the total amount to ING account 54.59.646 in the name of Vereniging MARTIJN, Amsterdam

I will transfer money through an 'International Post Office Money Order', using the above information and IBAN [ NL28INGB0005459646 ] and BIC [ INGBNL2A ].

I will send cash using (registered) mail to Postbus 93548, 1090 EA Amsterdam, The Netherlands.

Thank you!