Bulletin d’adhésion

PERSONAL INFORMATION

Information marked with an asterisk * is mandatory.

Member's name

First names

Alias

Date of birth

Nationality

Country of main residence

Postal address

Phone

E-mail

Occupation

Employer

Previous participation in TGA

Yes No

If yes, which year(s)

Expectations of the association

In accordance with the French Data Protection Act 78-17 of January 6, 1978, the TOGO AUGUST association undertakes not to use member information for commercial purposes. Members have the right to access and rectify any information concerning them.

Copy of an identity document: national identity card or passport