Bulletin d’adhésion

 

NAME: Miss Ms Mr

 

FIRST NAME (S):

 

ADDRESS:

 

 

 

 

JOB (S):

 

Payment of:         € by postal or bank check

 

Date                     Signature

 

PRICES:

 

Membres bienfaiteurs- Benefactor Members:                              20€ at least

Membres actifs- Active Members:                                               10€

Young from 12 to 18 years old, Students younger than 25, unemployed :         5

Joigning is free of charge for younger than 12 years old

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