AISAF JOINING FORM

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Associazione Ionico-Salentina Amici Ferrovie
Organizzazione non lucrativa di utilità sociale
Via Giuseppe Codacci Pisanelli 3 - 73100 Lecce

MEMBERSHIP REQUEST

 

The undersigned ___________________________________________
(name and surname)
born in ________________________________ on _______________
(birthplace and birthdate)
resident in _________________________________ ZIP _________
(city and ZIP)
address _____________________________________ tel. ________________
(address and telephone number)
cellular phone _______________________________________
email _________________________________________________
profession ________________________________________________
asks to join in quality of Member to the Ionico-Salentina Association of Railroads Friends having acquaintance of the Charter of the Association and accepting its rules.
The undersigned commits itself to pour the amount of EUR 30,00 as membership annual fee.

date ____________________
sign 
____________________ 

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