Mir-Club application form

	Member 1	Member 2
Surname
Name
Date of birth
Street, Nr.
Postcode, Town
Telephone
Fax
EMail

How often have you already travelled with Perestroika Tours?: .............

In which tours did you participate and when?:

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The membership in the Mir Club is non-contributory, there are no obligations.
The membership starts with the date of application. It can be cancelled from
both sides without stating reasons.

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Clubmember Brunhilde Monter - Mir Club 2000