Subscription for a "Pass for the year 2000"
Mr, Mrs, Ms, Miss
Surname:
First name:
Address:
Post code and town:
Country:
Telephone:
Date of birth:
Have you ever been a member of the Centre?
Yes
No
Pass nā
I wish to order ..... passes for the year 2000
i.e. .......... x 100 FF =
(For 10 Passes ordered, the 10th is free.)
Please send me the free 98-99 programme brochure only
Print out as many copies of this form as you require and return it/them completed and accompanied by your payment by cheque made out to "Mme l'Agent comptable du Centre Georges Pompidou" to the following address:
Centre Georges Pompidou
Service des relations avec les publics
75191 Paris cedex 04
France
Tel. +33 (0)1 44 78 14 63
Giro cheques and international money orders
should include the mention: CCP 9066-14 F Paris
Latest update 02.11.1999 ā CNAC-GP