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Membership is open to anyone, aged 18 and over, who wishes to support the aims of the British Association. Annual subscriptions are €20 single membership and €32 for a couple. The student subscription rate is €10 on presentation of justification. The subscription itself covers administrative costs, postage, paper etc, and we invite you to make a donation to support our welfare work if you wish. Please print and complete this form and send together with your cheque to the branch of your choice (see below).
British Association of the Alpes Maritimes
Annual Membership 2013
............................BRANCH (1)
First Name : _____________________ Surname:________________________
First Name : _____________________ Surname:________________________
Mobile telephone __________________ Date of Birth _____________________
First Name :______________________Surname:________________________
Mobile telephone __________________ Date of Birth _____________________
e-mail (s) ________________________________________________________
Address: ________________________________________________________
_________________________________________________________
Telephone (land-line):__________________
Are you willing to receive correspondence by e-mail only? Yes / No
Are you a permanent resident of the Alpes-Maritimes? Yes / No
(if "no" please give details of alternative address and telephone number)
___________________________________________________________________
Subscription €.............. €20 per single person, €32 per couple, 10€ for students (2)
Donation €..............
Total €_______
Optional information - would you like to;
1. Attend social functions Yes / No
2. Assist with social functions Yes / No
3. Visit people in hospital, in their home or retirement home Yes / No
4. Offer to drive someone Yes / No
5. Assist someone with shopping Yes / No
6. Offer any other assistance which could contribute to our welfare programme (for example legal, computer knowledge, financial, interpreter, organising events.............)
Please state your contributive activity on the line below :-
___________________________________________________
Signature:___________________________ Date:________________
Please make cheques payable to the British Association and send to the branch of your choice, as follows :-
Nice Branch: Marion Courtonne, Le Vieux Mas, 309 Chemin du Taude, 06140 Vence
Cannes Branch : Sylvie Chanoni, 731 Avenue Janvier Passero, Les Jardins Fleuris C1, 06100 Mandelieu
Menton Branch Birgitt Nordbrink, Villa Nirvana, 65 Ave de Sospel, 06500 Menton
(1) Please specify NICE, CANNES, or MENTON
(2) Please supply justification of student status
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