to open the membership form to the Association

ASSOCIATION DES AMIS DE SAINT SYMPHORIEN DES MONTS
Association Loi de 1901
Le Bourg
50640 Saint Symphorien des Monts
[email protected]
MEMBERSHIP FORM 2015
I want to join the project and help the Parc de Saint Symphorien Mountains by joining the Friends of
Saint Symphorien.
Name: ................................................ Name: ...................................................
Address:
CP: .......................... City: ..........................................................................
Phone: ..............................
E-mail: .............................................. @ ................................................
I choose the subscription that suits me best:
I am an individual:
❒ Single contribution – 20€
❒ Couple Contribution – 32€
By making a donation, I allow the project to proceed more quickly. I give ......... € in addition to the
fee. To thank me, the Association offers me a sticker of the Park logo.
I am a company or an association: ❒ Contribution Company / Association – 50€
I help more and I give ......... € in addition to the fee.
By making a donation of 45 Euros or more, I will see my name and logo on the website, on the
Newsletters and on the Facebook page of the park during the year.
❒ I check if I need an invoice.
I am paying by:
❒ Check
❒ Credit Card and Paypal
I return this signed form along with the check to the
mail address of the association, to the attention of
l’Association des Amis de St. Symphorien.
I send this application form signed. An email will be sent
to me with a link to a secure site for payment by Paypal
or credit card.
I will receive a confirmation of my membership, my membership card and my invitation upon receipt of the
complete and payment of dues.
My benefits
My guarantees
• A free entry at the park at one of the opening
days of 2015
100% of my donations used for the renovation of the
Park
• Regular information on the project and use of
funds entrusted to the Association
100% visibility on the use of my contribution
100% of funds used locally
• The certainty of getting involved in the dynamics
of a local association
100% protection of my private datas
❒ I wish to receive the Newsletter of the Project at the Parc de Saint Symphorien des Monts and the
Association’s Communications on my e-mail
In ................................................................................, the .... / .... / ........
Signature: .................................................
Note: No personal data entrusted to the park will never be given or sold.