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Adhérer – Seinbiose Association de soutien à l'allaitement

Adhérer

Si vous souhaitez soutenir notre action, vous pouvez devenir membre sympathisant de l’association:

Cotisation annuelle : 15€

NOM : ………………………………………………..

PRENOM : …………………………………………..

PROFESSION : …………………………………….

ADRESSE : ………………………………………….

MAIL : ……………………………………………….

TEL : ………………………………………………….

Merci de renvoyer ses renseignements sur papier libre accompagné du règlement par chèque bancaire ou postal à l’ordre de « Association Seinbiose »:

Association SEINBIOSE –
Trésorier – M Emile DEMONTROND
5 rue Jean Marie Tjibaou
70400 HERICOURT