APPLICATION
  REGISTRATION OF MEMBER       To The Registrar

I kindly request to be registered in the book of the members of the Indo-Hellenic Society for Culture and Development as Sponsoring Member  / Regular Member¹ (please erase whatever is not applicable). 

I deposit  the sum of.………….. ..........²   Euros in cash / to the credit of  the  bank account No 53.00.2320000710 Alpha Bank (Hippocratus  Branch), in favour of  the Indo-Hellenic Society for Culture and Development for my annual membership.

I declare that I wish to support the aims of the Society and that the details that have been entered in this application are true.

      The applicant                                           
 

¹ Any physical or legal person can be registered as a sponsoring or regular member independently of sex, race, social and ideological convictions, and with the only wish to contribute to the aims of the Society.
²  Minimal annual subscription:
Regular members:  individuals 15 €, legal persons 100 €.

Sponsoring members:  individuals 100 €, legal persons 1000 €.

Note: Please mention your name at the bank receipt.

All the contributions/subscriptions to the society are deducted from the tax statement in Greece according to the law on the taxation of income 2238/1994 articles 8 and 13.
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(to be filled by the office)

Membership no:             
Signature/Seal

 Name (Surname in capital letters): 

 Address (Street, City, Zip/Pin, Country):

   Professional Activity: 

   Telephone:  

   Fax: 

   E-mail:  

   Field of Interests

   No of Identity Card / Passport No:

   Citizenship:

   Legal Representative (for companies):

   Address of Correspondence:   

   Date

 
   Attached:
One photograph for identity card (optional).