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