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)

hildegund.scholvien@euroveg.eu
Fax +49-6305-5256