Document sans nom

BULLETIN Of ADHESION

NAME :

First name :

Address :

Postal code :

City :

Country :

Phone number :

E-mail :

Tarifs of adhesion :

Reduced tarif*: 10 €

Annual contribution member : 20 €

Payment by :

Bank check or postal with the order of the readers of Baghdad

Species

Date :

Signature :

* for the students, reprocessed and applicant for work