For outside France: 30 € / 40 € for a couple. If you want to be a bonnefactor membership: 100 € or more.

NAME, First name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Tél. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E-mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Please find enclosed the payment of my membership dues to the Gustave Courbet Institut :
for an amount of . . . . . . . . . . . . . . . . . . . . . . .€

CHÈQUE  / ESPÈCES  /VIREMENT BANCAIRE
To return to : Institut Courbet / 6 rue de la Froidière – 25290 Ornans

The membership card of the Courbet Institute gives the right to the free entrance to the temporary exhibitions and to the activities, a preferentiel price for cultural trips, to the annual bulletins and to the newsletters published by the Courbet Institute and to the archives consultation (soon by appointment).

The Gustave Courbet institute deeply thanks you for your donation. It is thanks to the donations received that we can pursue our actions to make better known the art and the artists around Courbet and his love of the nature.