Application for membership
I wish to join AMICALL (Association des amis du canal latéral à la Loire). I enclose my subscription of * 15 € for an individual or * 50 € for an organization (local authority, company, association, etc.), by cheque made out to the order of A.M.I.C.A.L.L. My membership will help A.M.I.C.A.L.L to continue its campaigns for the preservation and maintenance of the Canal Lateral à la Loire.
Date and Signature
cross out the alternative which does not apply. "press Ctrl+p to print" |