docBulletin d`adhesion registration NEW.pages
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Bulletin d`adhesion registration NEW.pages
Membership form: Circle the appropriate category/amount : Family/Couple : $50.00 Individual /Retired couple : $35.00 Full-time student/Retired individual : $20.00 Contribution is tax deductible The association welcomes corporate sponsors. Possibilités de mécénat/parrainage pour les sociétés commerciales. Téléphonez pour renseignements Nom de famille :___________________________________________________________________ Prénom :_________________________________et_______________________________________ Adresse :_________________________________________________________________________ ________________________________________________________________________________ Téléphone : Domicile :_________________________Bureau :_______________________________ Adresse Email(indispensable pour l’envoi de la newsletter) : ________________________________ Contribution complémentaire (facultative) pour le fonds de bourses (montant) : $____________ Vous porteriez-vous volontaire pour nous aider dans le cadre d’une activité ? (voir au verso /next page) ________________________________________________________________________________________ Talon à retourner avec votre chèque à l’ordre de l’Alliance Française de Raleigh-Durham-Chapel Hill 305 1/2 Calvin Rd Raleigh, NC 27605 – Tel : (919) 790-1219 in Chapel Hill or Durham: (919) 408-0854 Registration form 6/3/13 Page 1/2 Cochez si vous pouvez…Check if you can… ___ offer to host a meeting or a conversation group at your house ___ have access to a room where we could hold meetings ___ help organize meetings/events ___ help decorate/clean up for meetings/events ___ give a lecture/make a presentation ___ make phone calls ___ take charge of advertizing ___ help get sponsorship from businesses ___ help at the International Festival (cultural booth/café) ___ go to schools to talk about France and the French language ___ tutor/give French lessons ___ serve as a translator/interpreter Check if you have any of these skills… ___ singing ___ playing a musical instrument/ which one? __________________________ ___ acting ___ painting/drawing ___ sewing ___ Others : ____________________________________________________________ Registration form 6/3/13 Page 2/2
