Saint Calixte en Louron

Form of membership support
Association Saint Calixte in Louron, thousand years and later...


You can print this bulletin or copy out it on pure paper.

For year : .............
Surname name : .......................................................... First name : ...........................................................
Adress : ...................................................................................................................................................
Post code : ................................    City : ..................................................................................................
Country : ...................................
E-mail : ...................................................................................................................................................

I hereby wish to join the association for the year ............ and I pay a contribution of :

                   
Member :             15 € or more              ............... €

                   
Benefactor :          50 € or more              ............... €

I hereby pay a gift of : ............. € in support of the association's action.

Payment by cheque, payable to : Association Saint Calixte en Louron, mil ans et après...

A fiscal receipt of your gifts or contributions allows you to deduct from your taxes 60 % of the payments, within the limits of 20 % of the taxable income or of O,5 % of the turnover.

Fiscal receipt : Yes         No

Please return the form with payment to : Association Saint Calixte en Louron, mil ans et après.... - Mairie - 65240 CAZAUX FRECHET FRANCE

In accordance with the IT law and the liberties n°78-17 of January 6th, 1978 relating to files, computing and liberties, you have a right to access and amend any information pertaining to your membership of this association.


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