Form SAMA

Army Museum Society Application

Your application will become effective upon receiving your payment.
Please enclose with your payment an ID picture and a envelope with postage for your member card.

Annual fee 2005	Euros	Francs (eq)
Active member	35	229.59
Junior member (-18 years old)	20	131.19
Life member	700	4591.72
Benefactor member (from)	60	393.57
Couple	45	295.18
Military organization	90	590.36
Civilian organization	250	1639.89
Library	25	163.92

You are :
an organization
an individual

Specify your :

Name of the organization :
Mme Mlle Monsieur
Last Name :
First Name :
Adress :
Postal Code :
City :
Phone number :	Dialling code : Number :
Fax number :	Dialling code : Number :
Email :
Birthdate :
Profession :	Present :
Profession :	Past :

Historical interest :