SOLEUROPE

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On line Personal Application (Renewal)

 Back to the District list 


District : 27

Luxembourg

Personal Information

 
Title
First name
Last name
E-mail
E-mail (once again, thanks)
SOLE ID

Fill below if modification

 
Home Address 1
Home Address 2
City
Zip code
Country
Home phone

Work Information

Fill below if modification

 
Company
Work Address 1
Work Address 2
City
Zip code
Country
Work phone
Fac-simile

Dues and types of individual membership

130 EUR
Regular 1 year

360 EUR
Regular 3 year

40 EUR
Student

75 EUR
Retired

Payment

Cashiers check to SOLE Luxembourg, c/o NAMSA, L-8302 Capellen, Luxembourg

Bank transfer

Additional Data

Fill below if modification

 
Send me SOLE's mailing
Yes  No 
Please use address for SOLE communication
Home  Work 
 
Check this box if you DO NO LONGER want to be listed in SOLE & SOLEUROPE's Membership Handbooks and Directories, or the Online Directories
Check this box if you WANT NOW to be listed in SOLE & SOLEUROPE's Membership Handbooks and Directories, or the Online Directories
 
Additional information

Note: if your browser does not run embedded scripts in compliance with IE5+ or Firefox, you may get an error page. In that case, use the ways below to contact.

Please Note:
This form is not on a secure (encrypted) server. It is not much safer than giving your personal data over the phone. . You may prefer contact a representative of   SOLE  Luxembourg  (  ) or download the application form below, mail it to  SOLE  Luxembourg, c/o NAMSA, L-8302 Capellen, Luxembourg, or fax it to  + 352 3063 6654.

Download the Individual Application Form
 ACROBAT PDF (30 Ko)  WORD (46 Ko)  RTF (181 Ko) 




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