JOIN SMES-EUROPA

NETWORK 2006

form in           flag France

  Mr/Mrs/Dr/Prof.:

  First Name:
  Family Name:
  Institution:
  Position:
  Address:
  City:
  Zip Code:
  Country:
  Telephone:
  Fax:
  Mobile:
  Email:
  Webpage:

  I would like to belong to SMES-EUROPA as Individual member and  I pay                       30
    the annual
  INDIVIDUAL   membership fee

  I would like to belong to SMES-EUROPA as  Institutional  member and I pay                  100
    the annual
  INSTITUTIONAL membership fee

  I would like to support  SMES-EUROPA and I pay                                                        500
    the 
SPONSOR MEMBERSHIP fee

 

  Please specify the main  targets and users of your Institution  

INCLUSION PROJECTS

RESEARCH/ACTION

TRAINING

Homeless people

Mentally ill people

Alcoholics

Drugs Addicts

(ex) prisoners

Unemployed

Immigrants

Refugees

Other         

 We would like to be partner of SMES-EUROPA in European exchange & study projects concerning

SMES Network and
10 ROME Conference

Outreach services

Drop in project

Immigrants care
services

Cooperation
in training

   Date:                      Sign: 

  

SMES-EUROPA : A.I.S.B.L non-profit International Association - Moniteur B.2002-01-15 N. 000620 - "Arretée Royale" 10/08/01
SECRETARY   :    Place  Albert Leemans, 3 - B-1050 Bruxelles   Tel./fax : (+) 32.2.5385887   -   E-mail : smeseu@smes-europa.org
PAYMENT FEE:  Bank transfer to SMES-EUROPA a.i.s.b.l.    -    the account : 001.3629563.93
CODES             :    IBANBE98001362956393     -     SWIFT:  GEBABEBB
Bank address  :    Fortis Bank  -  Agence Lepoutre Av. Louis.Lepoutre 68 -  B-1050 Brussels

                   SMES-EUROPA  :  smeseu@smes-europa.org

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