Subscription form :
Association pour la défense et la promotion de l'œuvre de Vasarely
Association for the defense of Victor Vasarely's work
A cultural association regulated by the French Law of July 1st 1901
 Year 2005
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Active member
single subscription €20
double subscription €30
 
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single subscription € 100 or more
   
   
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Fees paid are valid for the current civil year.

Please return this enrollment form and arrange for an international currency transfer
to the following international banking account number

IBAN : FR76 3007 6022 3228 4172 0020 090

(international bank account number)

Association pour la défense et la promotion de l'œuvre de Vasarely
66, cours Sextius, 13100 Aix-en-Provence, France.