Become Member

Would you like to become a member of the association ? Register now by filling out the form below ...

First name

Family name

Address

ZIP Code

City

Country

E-mail

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Would you like to take part in the actions and / or projects carried out by the association La Maison d'Afrique A.S.B.L. ?

Yes

Would you like to make a specific contribution to the association La Maison d'Afrique A.S.B.L. ? If yes which one ?

What is your current professional activity ?

By becoming a Member, I freely participate in an annual subscription of € 50 by paying into the bank account of the association La Maison d'Afrique A.S.B.L.

Yes, I'm agree

No, I refuse, so I can not become a member of the association La Maison d'Afrique A.S.B.L.

(IBAN LU26 1111 2999 4824 0000 / BIC CCPLLULL)

The validation of your application will be effective when we acknowledge receipt of payment of your subscription either by bank transfer or by online payment by referring to the link below.

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