The #Kunstzertifikat FAN CLUB

You can join my official fan club by completing and returning this application form with a cheque/postal order for 50ct. made payable to „THE #Kunstzertifikat FAN CLUB“

PLEASE PRINT

Surname __________________ Christian Name________________________

Address ____________________________________________________________

____________________________________________Postal Code _____________

Boy/Girl/Div ________________________________Telephone No __________

Date of Birth Day _________ Month __________ Year _________________

Name & Address of School ___________________________________________

_______________________________________________________________________

Name of Employer ___________________________________________________

Type of Work and Position ___________________________________________

Brothers Sisters _____________________________________________________

Name(s) _________________________________________ Age(s) _____________

Favorite Artists ______________________________________________________

_______________________________________________________________________

Favorite Film & TV Stars _____________________________________________

_______________________________________________________________________

Signed _________________________

Dated __________________________

Pleasae return this form with a cheque or postal order to
„The #Kunstzertifikat FAN CLUB“

THANK YOU