Ficha de Sócio do GEIC / GEIC Membership Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Associação para a divulgação e promoção dos jovens artistas - NIF 503 019 410, torna-se sócio efectivo após envio de comprovativo de pagamento para geic.ptlx@gmail.com e confirmação do GEIC.
Condições: 10€ jóia + 40€ quota anual ( 20€ <30 anos )
Pagamento por transferência bancária para o IBAN PT50 0035 0545 0004 6307 0308 1

Association for the dissemination and promotion of young artists - NIF 503 019 410, becomes an effective partner after sending proof of payment to geic.ptlx@gmail.com and confirmation from GEIC.
Conditions: 10 € registration fee + 40 € annual fee (20 € <30 years)
Payment by bank transfer to the IBAN PT50 0035 0545 0004 6307 0308 1

Email *

Nome / Name *

Morada / Adress *

TM / Mobile *

Data de Nascimento / Date of Birth *

YYYY

ID (BI-CC) Passport *

Formação / Academic qualifications *

Àrea Artistica / Artistic Area *

Em caso de Outras, especifique / In case of Others, specify

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms