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Join us ! For more information, contact us by mail at :

ESU PARIS

8 Villa de Ségur

75007 Paris

France

Or by email to :

Dr. Maria Al Salem

Vice President, ESU Paris

fssalem@yahoo.com





Please find below a membership application form :





















ESU PARIS


NEW MEMBER

Application Form 2018



Title ________________

First Name ____________________________________________

Family Name __________________________________________

Address : _____________________________________________

______________________________________________________

Postal Code ____________City ___________________________

Country _____________ Profession _______________________

Telephone No. ____________________ Fax No. _____________

Email address _________________________________________

Sponsor ______________________________________________


Membership Fees


Single member 45 € □ Couple 70 €

Junior member 30€ □ Donating member 90€

I do not have an email address and add 10 € for postage

Please indicate any of the above information that you do not want printed in the ESU Paris annual membership list (distributed to members only).


Title/name □ Address □ Telephone/fax numbers □ email address

Additional comments ____________________________________________________

____________________________________________________

Please send this application form, together with a cheque payable to English Speaking Union Paris, to:

ESU Paris, 8 villa de Ségur, 75007 Paris