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Formulaire d'adhésion à l'association
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* Indicates required question
Email
*
Your email
Nom
*
Your answer
Prénom
*
Your answer
Type d'adhésion
*
Étudiant (40 CHF / année)
Membre individuel (100 CHF / année)
Membre duo (150 CHF / année)
Membre à vie (3000 CHF montant unique)
Donation (à votre gré)
Other:
Votre adresse
Rue
Your answer
Code postal / Lieu
Your answer
Téléphone
Your answer
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