Call for contributions
First registration or Renewal
Name : Ms, Mrs, M ............................................ First name ....................................
Address .....................................................................................................................
Phone ........................................ Email address ......................................................
Wants to register to the association « Les Amis de Roger Toulouse ».
Please choose your annual contribution :
1 - Student : 8 €
2 - Basic contribution : 25 €
3 - Second contribution in the same household : 20 €
4 - Support contribution : 45 €
5 - Benefactor member : from 60 €
This payment gives you a tax reduction equal to 66% of the contribution (for French resident).
(Tax certificate will be sent at the end of the year)
Form and cheque payable to the association to be sent to the treasurer :
Catherine CHÊNE : 13, place de la Commune - Saint Jean de Braye - 45800 - France (Tél : 00 33 238 216 306)