Open House Membership Application 2017-2018
This form should be filled out by all new and returning members. Please note that your application will not be processed if payment is not received. The membership year runs from June 30, 2017 to July 1, 2018.

Please note the following 2017-2018 membership fees:

35€ - Family Membership (Includes spouse and children)
35€ - Individual Membership
20€ - Individual Student Membership
(Please send a copy of valid student identification to to receive the student discount. Does not apply to families)

Please note that only the questions with the red stars are required.

Membership Year *
E-mail address *
Your answer
Given Name (First Name) *
Your answer
Family Name (Last Name) *
Your answer
France address *
street number and name, postal code, city
Your answer
Mobile or home phone number
(example format: +33 6 00 00 00 00)
Your answer
Nationality *
(example: American, English, Irish, Dutch, German, Spanish, etc. May provide more than 1, if applicable)
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms