


Individual annual adhesion: 20 € and more
Adhesion with reduced tariff
(Students, Unemployed on documented proof): 10 € and more
Benefactor
member : 80 € and more
Donation
(specify the sum): €
The members will receive the semi-annual news bulletin and will be convened at the annual general assembly.
Write below your coordinates in capital letters:
| Name: | First name: | ||
| Address: | |||
| Zip code: | Commune: | ||
| Country: | |||
| E-mail: | Web site (for juridical persons): | ||
| Prof. phone # (optional): | Perso. phone # (optional): | ||
| Portable phone (optional): | Fax (optional): | ||
Do you accept that your coordinates will be transmitted to
the members of your area in order to set up a local group?
Yes - No (stripe the useless mention)
Do you agree to be contacted to carry on a
voluntary activity on behalf of the association?
Pedagogical activity - Making contact with the professionals and
the institutions - Promoting the association (holding
a stand, distributing leaflets...) (surround the mentions which interest you)
Print and send back this bulletin together with your cheque made payable to M.I.E.L.
to the following
address:
M.I.E.L.
69, rue Lecourbe
F-75015 Paris
France