Membership
Membership of the Center for Belgian Culture is $25.00 a year.  People over the age of 70 pay only $15.00.
 

Name

  
Address  
City, State, Zip Code, Country  
Phone Number  
E-Mail Address  
Date of Birth (Month-Day-Year)  
     
Additional Useful Information  
     
 
To become a member, fill out the Membership Application Form above, and send this printed page, accompanied by a check, to this address:

   Center for Belgian Culture
   Membership - Belgium Museum & Gift Shop
   712 18th Avenue
   Moline, IL 61265