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Supporting Member Form / Formulaire Membre Sympathisant
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* Indicates required question
First name / Prénom
*
Your answer
Family name / Nom de famille
*
Your answer
Email address / Adresse Email
*
Your answer
Phone / Téléphone
*
Your answer
City & Country / Ville et Pays
*
Your answer
Profession
Your answer
Why would you like to join us?
Please answer this question! / Pourquoi souhaitez vous devenir membre sympathisant (merci de répondre à cette question!)
*
Your answer
Your annual membership contribution (in Euros, minimum 10€) / Le montant de votre adhésion annuelle (10€ minimum)
*
Your answer
Preferred payment method / Méthode de paiement
*
Bank Transfer / Transfert bancaire
Online payment on our website / paiement en-ligne
Any thought or comment you would like to make? /Une réflexion que vous aimeriez partager?
Your answer
Please go to the
membership payment page
/ Merci de
procéder au paiement de votre adhésion
.
Please don't hesitate to
get in touch
should you have any question / N'hésitez pas à
nous contacter
pour toute question.
By sending this form you confirm that you have read the
MMM Supporting Member Charter
and commit to upholding it values / En envoyant ce formulaire, vous confirmer que vous avez lu la
Charte des membres sympathisants de MMM
et que vous vous engagez à la respecter.
We are delighted to welcoming you as a supporting member! / Nous sommes ravis de vous accueillir au sein de MMM en tant que membre sympathisant !
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