New member form

Name and surname (obrigatório)

ID number (obrigatório)

Date of birth (obrigatório)

E-mail (obrigatório)

Phone (obrigatório)

Address (obrigatório)

Post code and city (obrigatório)

Monthly fee*
5€10€15€20€25€30€40€50€100€

* Fees will be charged quaterly.

Account number (IBAN ESxx xxxx xxxx xxxx xxxx xxxx)

Comments:

If you send this form you agree your personal data will be used internally for the "Semente Ourense" association. The Coordinator of the association will use the data for organization and/or association porpouses. See privacy policy.

Associaçom Semente Ourense
CS A Galleira, Rua Hernán Cortês,
32005 - Ourense