Προς, ΦΙΛΟΖΩΙΚΟ ΣΥΛΛΟΓΟ ΠΑΛΑΙΟΧΩΡΑΣ “PAWS” To :Paleohora Animal Welfare Society Αίτηση εγγραφής στον Σύλλογο Membership Application form for PAWS Επώνυµο/Surname: ........................................................................... Όνοµα/Name: ............................................................................... Όνοµα πατρός/Father's Name: ................................................................... Ηµ. Γεν./Date of Birth: .......................................................................... ∆/νση κατ. / Address: ........................................................................ ∆ήµος/District/ Town: ................................................................................. Τ.Κ./Postal Code : ........................................Χώρα/Country: ............................... Τηλ./Telephone no: .................................................................................... E-mail : …............................................................................. Ζητώ να µε εγγράψετε ως µέλος του Σωµατείου κατ' άρθρο 5 του Καταστατικού. ∆ηλώνω υπεύθυνα ότι πληρώ τις προϋποθέσεις του Καταστατικού του Συλλόγου. ∆έχοµαι επίσης να πληρώνω το ποσό των 10 ευρώ ως εγγραφή και το ποσό των 10 ευρώ ως ετήσια εισφορά. By signing this form I acknowledge that am applying to become a member of Paleohora Animal Welfare Society (PAWS) as stated in the artcl.no5 of the registration protocol. Hereby, I accept the rules and regulations in accordance with its Memorandum and Articles of Association. I understand that Council has the right to reject or suspend my membership. I also acknowledge and accept an admission fee of 10 Euro and a minimum annual membership fee of 10 Euro. Ο/Η Αιτών/ούσα / The applicant Ηµεροµηνία/Date ....................................................... (Ονοµατεπώνυµο, υπογραφή) (Full name and Signature of the applicant) ....................
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