Membership application form

for firms / business supporters

Name of the firm	.........................................................................................
Person for Correspondance	.........................................................................................
Address for correspondence	Street Post code, City Country Telephone Fax Email	......................................................... ........................................................ ........................................................ ........................................................ ........................................................ ........................................................

We apply for	Business Membership (50,00 € / 75,00 CHF per annum)
	Business membership is open to any firm which is in sympathy with animal welfare, humanitarian, health or similar relevant objectives. Business membership carries no voting rights.

Subscription	€/CHF..........................................
Donation to EVU	€/CHF..........................................
For bank charges, overseas postage etc. (9 € if you send other currency than € or CHF)	€/CHF..........................................
Total sum	€/CHF..........................................

Date ............................... Signature .....................................................

Please print this form and send your application and payment to:

European Vegetarian Union

Hildegund Scholvien (Treasurer), Friedhofstraße 12, D-67693 Fischbach (Germany)


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