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Member

My schedule does not allow me to make time for the association. However, I would like to contribute and keep myself informed of the association's news.

Terms:

25€ / Year

First Name:* First Name Required

Last Name:* Last Name Required

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Phone:* Telephone is Required

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Occupation:* Profession is Required

How did I find out about the Association?:* How did I find out about the Association? is Required

Membership type:* Membership Type is Required

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Terms: 25€ / Year

Description	Amount
Member – Initial Payment	25.00€
Total	25.00€

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Secure payment By transfer By cheque

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payable to: L’ASPIC

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