SOCIETY 

W O M E N     W H O     B U I L D

L a   M u j e r    C o n s t r u y e

  JOIN US
 
You can also participate in this project. As a REGISTERED MEMBER of Women Who Build Society
 
we offer you many advantages.
Please, take a couple of minutes of your time to fill in the REGISTERING FORM and then press "Send". 
You can also print it and send it by fax or mail to:
Asociación La Mujer Construye
C/ Conde de Xiquena 2, 2º 
 28004 Madrid  · Spain
Tf. +34 91 804 06 37
Tf. &  Fax: +34 91 521 4985
We will contact you immediately. 

Personal data ( * means it's obligatory to fill in that field)

* Name:

* Surname:

* ID:
Profession:                      Birth date:
Address:
City: ZIP code:
Country:
  * Tf.: Fax:
 E-mail:

Economical contribution (voluntary)
Due to the uncertainty of our profession, the registering fees are voluntary, so each member will only pay the quantity she thinks she will be able to pay. 
If you want to collaborate with this contributions, please fill in the following form; if not, you don't have to fill it in. Add any comments you want in the corresponding field. Finally, press the "Send" button. 


Yes, I want to participate in Women Who Build society as a member with an ammount of:

  •   60 Euros/year, so I authorize my bank to pay that ammount every (* choose an option)

Year (60 Euros)

Six months (30 Euros)
  • Other ammount of Euros that I will pay
Bank data
* Entity  * Office * DC * Account Number
* Bank
Address

* In at       of 2005


Comments

We are interested in knowing your ideas and opinions. Please, write anything you think it is important about this project, the web or any other topic you are interested in.

 

(Please, if you want to keep a copy of this formulary, print it before you send it)

 
 
 
 

 

 
 
 
 
 
 
 
 
 
 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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