Membership application form

for individuals and families

Name	.........................................................................................
Address for correspondence	Street Post code, City Country Telephone Fax Email	......................................................... ........................................................ ........................................................ ........................................................ ........................................................ ........................................................

I / We apply for	Individual Membership (25,00 € / 37,50 CHF per annum)
	Family Membership (30,00 € / 45,00 CHF per annum)
	Life Membership (250,00 € / 375 CHF)

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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