GSCL FORM4 - Gaelic Sports Club Luxembourg
Transcription
GSCL FORM4 - Gaelic Sports Club Luxembourg
GAELIC SPORTS CLUB LUXEMBOURG ASBL AFFILIATED TO THE CERCLE SPORTIF DE L'UNION EUROPÉENNE AND THE FÉDÉRATION LUXEMBOURGEOISE DES SPORTS GAÉLIQUES ASBL Thank you for becoming a member or for renewing your membership of Gaelic Sport Club Luxembourg asbl. Please transfer your annual subscription fee to the Club's Bank Account. We need your information for our own records and to register your membership with the GAA and with the Cercle Sportif. Complete this form, save it and send it to [email protected]. Imreoir / Playing member / Joueur (euse) €75 Mac léinn / Student member / étudiant (e) €25 IBAN: LU24 0021 1375 5690 0000 Gnáthbhall / Non-playing member / Non-joueur (euse) €60 BIC: BILLLULL, Dexia Gaelic Sports Club Luxembourg Tá suim agam sna foirne seo a leanas/I am interested in playing/Je voudrais jouer… Iomáint/Camóige Peil/Football/Football gaélique Sacar laistigh/indoor football/ Foot en salle Tá na sonraí seo uainn le do bhallraíocht a chlárú leis an gCLG/We need the following details to register your membership with the GAA/ Nous avons besoin des détails suivants pour enregistrer votre adhésion avec la GAA. Ainm / Name / Nom Sloinne / Surname / Nom de famille Postchód / Postcode Seoladh / Address / Adresse Baile / Town / Ville Dáta Breithe/Date of Birth/Date de naissance (Riachtanach d'Imreoirí/Required for playing members/ Obligatoire pour les joueurs) Have you ever been a member of any other GAA club?: Ainm an chlub / Club name / Nom du club Contae/County/Comté We're affiliated with the Cercle sportif de l'Union Européene. Please let us know if you work for one of the EU Institutions or agencies or for the European School and complete the following section of the form. Institiúid / Institution Seoladh oifige / Office address / Bureau Ríomhphoist oibre / Work email / E-mail professionnelle We want to keep in touch with all of our members, please give us your email addresses and contact telephone numbers. Ríomhphoist / e-mail Uimhir theileafóin / Telephone number / Numéro de téléphone E GROUSSE MERCI FIR AER ENNERSTËTZUNG / UN GRAND MERCI POUR VOTRE SOUTIEN / GO RAIBH MÍLE MAITH AGAT AS UCHT DO THACAÍOCHT WWW.LUXGAA.LU