Member Information Form

  • I am not a member
    • I want to join as a member
    • I want my family to join as members
  • I am a (single) member with membership number ..........
    • I want to change my contact information
    • My family wants to join as members (single membership ends)
    • I want to resign from membership
  • My family is a member with membership number ..........
    • We want to change our contact information
    • We want to change the mail recipient
    • I want to become a single member, the rest of the family stays as members
    • I want to become a single member, the rest of the family leaves the organisation
    • I want to resign, the rest of the family stays as members
    • Our family resigns from membership
Name


Year of birth


Postal address


Zip code & city


Country


Telephone


E-mail address


Names and birth years of family members who want to join








Date and signature


After printing and filling out this form, mail it to: Prometheus-leirin tuki ry, Aurorankatu 13 B 16, FIN-00100 Helsinki