AAPEL - Join the association

(online secured payment by credit card or by mail)

2010 Annual subscription US$30 or 30 euros
(The 2010 annual subscription is set to 30 euros for individuals
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I undersigned:(*)	Ms. - Miss. - Mr.
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from the Company:
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Wish to join the AAPEL association in position of (*)	Individual (personal) - Legal entity (company)
I will pay my subscription:	.Euros or US$
Futhermore I wish to make a donation:	.Euros or US$
I will pay my subscription by:	(please select) - Credit Card (secured payment in next page) - Check payable to "AAPEL" - Bank transfer - Cash -Other
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Please note that your membership will take effect only after payment of your annual subscription

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(France)

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In accordance with the law "informatique and liberte" Jan 06th 1978, you have an access, modify and cancel right to your informations

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