<Please send this invoice electronically to our office for administrative purposes and keep one copy for your own administration.> To <Please enter your name and address> Address: Treasurer of HORATIO Richard Brodd Oskarsgatan 4 414 63 Göteborg SWEDEN E-mail: richard.brodd@horatio-web.eu Website: www.horatio-web.eu Phone: 0031-(0)6-23343086 Subject: Invoice associated Membership 2008 Date < add info > INVOICE Friends of Horatio. Associate Membership 2008 Dear Sir / Madam <Please enter your name>, Thank you for your interest in becoming an Associate Member of Horatio. We would be very grateful if you could send your subscription to Horatio via internet payment (see bank details below). Nature of membership: The fee for 2007 is (minimum): Organizational Associate membership € 150,00 Nature of membership: The fee for 2007 is (minimum): Individual Associate membership € 50,00 Thank you for your contribution. On behalf of the Horatio board Mr. Richard Brodd, Treasurer. Data for bank transfer. Name organisation and address, see above. Name bank; ABNAMRO, Bank number; 48.75.14.130, 1 IBAN; NL48ABNA0487514130 Swift; ABNANL2A Bank address; ABNAMRO, Kronenburgpromenade 6, 6831EA, Arnhem, Netherlands 2 Nature of member Transferred amount Personal Name / or name of organization Character of the organization. Organization € Yes / No Individual Yes / No (such as college, university, hospital) Address Town / City Postal code Nation Contact person* Phone* Mobile* E-mail Website* *Optional The Associate Members below are regarded as: ´FRIENDS OF HORATIO´ By supporting the organization with an annual donation they receive special benefits such as hard copies of the bulletin and receiving advance notice on developments. They also have the opportunity to make themselves known in the bulletin or to publicise projects such as congresses and conferences. The subscription fees given above are suggested minimum amounts, but Associate Members may pay more should they so wish and feel it appropriate. Donations from Associate Members will allow Horatio to invest in its' Website and the Bulletin. They will also enable Horatio to develop its organizational structures and secretariat so that it can become an organization fit to achieve its' objectives, to be able to develop future programs and to provide a PanEuropean voice for mental health nursing. Nature: Organizational Associate Membership Open to organisations and institutes whose objectives and activities are principally focussed on mental health and mental health nursing. These nurses will be formally registered in line with their national legislation. Nature: Individual Associate Membership Open to individuals. For those who choose this form of membership, Horatio needs to know their field of interest and / or the organization for whom they work. - Associate Membership will be valid when the membership fee has been received and processed by Horatio's bank. You will be informed when this has taken place. Please send one copy by e-mail to Horatio's office and keep one for your own administration. 3