LONGYANGCLUB HOLLAND
Where West and East Meet

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JOIN LYC-HOLLAND AS A MEMBER !

Annual membership: 
€ 10,00  > personal membership
€ 15,00  > partner membership

Please get in touch with the secretary for more information !
Please fill in the membershipform below to apply for a membership !

What do you get:
- A personal membership card
- Our monthly Digital Oriental Express / LYC-Update (In progress)
- Discount on other activities
- Discounts with advertizers in Digital Oriental Express (shops etc.)
- Worldwide discounts at other Long Yang Clubs

Personal membership....or partner-membership ???
Personal membership is for singles, partner-membership is for couples, living together at the same address.
Partner-members will receive one subscription to Oriental Express / LYC-Update !
P.S.: Will you your profile on the open members list that only for members or not?

Bank:
Postbank
Account number:
0 0 5 8 4 2 7
Name:
Long Yang Club Holland
City:
Rotterdam

Please transfer your membership fee to the above bankaccount and fill out the form below.

Fields marked:
*) are required fields, fields marked
**) are required for partnership members.
Your Initials
Calling Name *)
Last Name *)
Street address + number *)
City *)
State
Zip Code / Post code *)
Country *)
Phone number *)
E-mail address *)
Your Profession
Your Ethnic Origin
   
Type of Membership *) Single   With  Partner
Your Partners Calling Name **)
Your Partners Last Name **)
Your Partners Ethnic Origin
Your Partners E-mail address
Your Partners Profession
         

To contact us: Long Yang Club Holland - Info Telephone: +31 (0)6 1088 4218
E-mail - WEBMASTER: ruudiwan69