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 Registration

Important:

Registration is effective only with payment of the amounts of contributions and participation required

 

   Informations:

  

    Your name

 

    Your surname

 

   Your pseudonyme if available:

 

   Your activity:

 

   Your date of birth:

 

   Your address:

  

   n° and street name
 

   Postcode of your city                                                                        City 

  

   Country

  

   More informations:

  

   Your motivation to participate in this event - meeting: 

 

 

 

 

   Your proposals for participation in poetic expression or other:



     Your comments and suggestions:

    
     Join
     your membership of 30 euros
     +  participation of 235 euros
    Total 265 euros  par virement bancaire : 

    Poètes aux sommets, 66 Clos des Charmilles, 74400 Chamonix Mont-Blanc - FRANCE

    RIB code banque 18106 code guichet 00022 n° compte 96711470546 clé RIB 23 


                                        

Your on-line payment  is possible :

 

Site created by Marie Robert  on February 2008