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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.