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Membership form

LES DOIGTS QUI RÊVENT

(Dreaming fingers)

Éditions européennes d’albums tact-illustrés - (Association Loi 1901)

Last name ............................................. First name ..............................
or Organisation name ...............................................................................................
   
Address  
..........................................................................................................................
..........................................................................................................................
Email address .......................................................@................................................
   
Optional but important for us:  
Father profession ................................................... Age .......................
Mother profession .................................................. Age .......................
   
How many children do you have? ................................. Ages .......................
First name and age of your children who use tactile books  
..........................................................................................................................
   
Enclosed a cheque of:  
- Membership 10,00 euros  
- Benefactor 15,25 euros and more  
   
Date .............................................................................  

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