INDEPENDENT
ARTIST
NETWORK
HOME
MISSION
ARTISTS
SUPPORT
CONTACT
LINE-UP
BLOG
Please give us detailed information of how you would like to support us.
We will get in touch with you personally as soon as possible. Thank you!
YOUR NAME:
*
YOUR E-MAIL:
*
STREET ADDRESS:
*
ZIP CODE / CITY / COUNTRY:
*
SUPPORT:
*
ONE TIME SUPPORT
MONTHLY SUPPORT
OTHER (please specify in the message field)
AMOUNT:
*
1'000.00
10'000.00
5'000.00
500.00
200.00
100.00
50.00
20.00
10.00
OTHER (please specify in the message field)
CURRENCY:
*
CHF (Swiss Francs)
EUR (Euros)
USD (US Dollars)
ZAR (South African Rand)
GBP (British Pounds)
OTHER (please specify in the message field)
PREFERRED COMMUNICATION LANGUAGE:
*
ENGLISH
GERMAN
MESSAGE:
*
PLEASE ADD ME TO THE SUPPORTERS LIST:
*
Spam Protection: Please don't fill this in:
