SPONSORSHIP REGISTRATION FORM:

a

Country:
First Name:

Last Name:

Address Line 1:

Address Line 2:

Postal Code:
City:
Province:
Home Telephone:
Email:
Sponsorship:   Amount: Euros per month
Preferred language: (for Newsletter)

Please complete the attached registration form, making sure that all fields are filled in. Address Line 2 is optional but the other fields should all have text entered.

The contents of this form, when submitted, will be sent automatically to the Sponsorship secretary for record purposes.

Thank you for your support !!