MEMBERSHIP APPLICATION FORM
BULLETIN D'ADHESION
Some questions may not be applicable to you or your situation. Please leave these blank.
Ne remplir que les rubriques qui vous concernent.
Surname / Nom:
Forname / Prénom:
Date of birth / Date de naissance:
Place of birth / Lieu de naissance:
Profession / Profession:
Country / Pays:
Address / Adresse:
Telephone / Téléphone:
Fax:
E-mail:
Homepage:
Present employer / Employer actuel:
Year you began to work in animation:
Année de vos débuts en animation:
Films, manifestations, books....
you have been associated with:
Films, manifestations, livres....
auxquels vous avez étés associés:
What kind of activity would you like ASIFA to improve ?
Quels types d'activités voudriez-vous qu'ASIA conduise ?
I wish to be admitted as:
Je sollicite mon adhésion comme:
Individual Member / Membre Individuel:
Member of the ASIFA National Group /
Membre du Group National ASIFA:
- choose country/continent -
Africa
Austria
Australia
Belarus
Brazil
Bulgaria
Canada
Catalunia
China
Croatia
Cuba
Czech Republic
Euskadi
Finland
France
Germany
Hungary
India
Iran
Israel
Italy
Japan
Korea
Macedonia
Mongolia
Poland
Romania
Russia
Slovakia
Slovenia
Switzerland
Ukraine
United Kingdom
USA Atlanta
USA Central
USA Colorado
USA East
USA Hollywood
USA Northwest
USA San Francisco
USA Washington
Yugoslavia
I agree to pay the annual subscription according to ASIFA regulations as soon as I receive my acceptance as a member.
Je m'engage á payer la cotisation annuelle, selon les statutes de l'ASIFA, des reception de mon acceptance comme membre.
Send your application to ASIFA General Secretary:
Envoyez votre bulletin á l'ASIFA
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