1. INDIVIDUAL MEMBERSHIP (choose a category)
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MEMBER |
50 € |
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SUPPORT MEMBER |
100 € |
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BENEFACTOR MEMBER |
150 € |
2. LOCAL GOVERNMENT MEMBERSHIP (choose a category)
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BOROUGH COUNCILS OF UP TO 2500 INHABITANTS |
100 € |
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BOROUGH COUNCILS BETWEEN 2500 AND 5000 INHABITANTS |
150 € |
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BOROUGH COUNCILS OF MORE THAN 5000 INHABITANTS |
200 € |
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BOROUGH COUNCILS OF MORE THAN 100.000 INHABITANTS |
500 € |
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DISTRICTS AND COUNTIES |
1000 € |
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REGIONS |
3000 € |
3. INSTITUTIONAL MEMBERSHIP (choose a category)
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LOCAL INSTITUTIONS/ORGANISATIONS |
150 €
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REGIONAL INSTITUTIONS/ORGANISATIONS |
300 € |
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NATIONAL INSTITUTIONS/ORGANISATIONS |
600 € |
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INTERNATIONAL INSTITUTIONS/ORGANISATIONS |
1200 € |
4. NAME OF THE INSTITUTION/LOCAL AUTHORITY:
5. PARTNERS/ENTERPRISES
| Voluntary donation without set rates. Prestations, services, donations in the framework of conventions. Other contributions (offers to be discussed). |
AMOUNT OF THE DUE IN EUROS
PAYMENT MODALITY
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ENCLOSED CHEQUE (TO BE SENT TO : APMM 50 bd Malesherbers 75008 PARIS - F)
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BANK TRANSFER (download the RIB)
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INFORMATION CONCERNING THE MEMBER
NAME :
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| FIRST NAME : |
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| FUNCTION : |
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| ORGANISM : |
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ADDRESS :
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| POST CODE : |
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| TOWN : |
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| COUNTRY : |
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| TELEPHONE : |
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| MOBILE PHONE : |
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FAX NUMBER :
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| E.MAIL : |
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