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A S S O C I A T I O N


Fill in this application form to be registered as a supporting member.



Surname:

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Given name:

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HOME ADDRESS

Country:

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Town/city:

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Street:

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Number:

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Post code:

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Address:

/if it's different from the above mentioned/

Telephone 1.:

Telephone 2.:

Fax:

e-mail 1.:

Obligatory to fill in

e-mail 2.:




I wish to be a supporting member

I also do some work:

I don't:




Type of paying the membership fee (min. 500HUF per year):

Cash

Cheque

Bank transfer




You can sign other information, questions and recommendations to the band:








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