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Membership Application
First name ..................................................................................
Surname ...................................................................................
Street / No ..................................................................................
Postcode / Town .........................................................................
Date of Birth ...............................................................................
E-mail ..........................................................................................
Tel ........................... Fax ..........................mobile ........................
Date.......................... Signature ....................................................
Annual contribution of 49 € on the account of Euro-Toques GmbH,
Winnender Str 12, D-73667 Kaisersbach
The membership will automatically renew for a further year if
they are not at least 2 months before the original date will be canceled.
With the dissemination of my personal data I do not agree.

