Membership application form

If you want to collaborate with the project proposed by the Centre Mediterrani del Rellotge de Sol, submit the form below and we will contact you. Thanks.

NAME *:
FAMILY NAME *:
ADRESS *:
POSTAL CODE *:
CITY *:
TELEFON NUM *:
D.N.I. / N.I.F. *:
BIRTH DATE *:
EMAIL *:
	Requests to be admitted as a member of the CENTRE MEDITERRANI DEL RELLOTGE DE SOL type:: SENIOR MEMBER (40€/year)** JUNIOR MEMBER (until 18 years old) (20€/year)**
COMENT:
CÓDIGO DE SEGURIDAD Escribe el código de números y letras en la casilla de abajo.

NOTES:
* Fields marked with * are required.
** HOW TO PAY: Please send your cheque in Euros, and made payable to "Centre Mediterrani del Rellotge de Sol". Please do not pay in other currencies.