Sugar around the world →
Name: ……………………………………………………………………………..
FirstName:…………………………………………………………………………..
Adress : ………………………………………………………………………….
Zip Postal : …………………..
City : ………………………………………….
Country: ……………………………………………………………………………..
Employer: - Private - Public
Profession: ……………………………………
At what age group you belong:
18/25 old - 26/40 old - 41/55 old- + de 55 old
How are you aware of Ethical Sugar ? : …………………………...…………………………………………………………………………………….
Annual fee (thank you tick the sum attached)
Fee simple : 25 € ( 39,50 USD)
Student : 10 € ( 15,80 USD)
Contributions support: 50 € ( 78,85 USD)
I would like to receive information from Ethical Sugar by mailI authorize the communication to members of my name and mail
Date : / / 2008 Signature :
Bulletin to return with your payment to:
SUCRE ETHIQUE
4499 ROUTE NAPOLEON
38320 BRIE ET ANGONNES - FRANCE
IMG/pdf/Membership.pdf - 11.9 kb - English