Membership form

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First Name/Names

Family Name

Address
(House and Street)

Address
(Additional Address Info)

Town Village

Post Code

Country

Telephone

When do you expect to move?

Comments

I agree to accept the terms and conditions of French Liaison which are available on request.

Please Sign Here

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Please complete the form, print, sign and send to French Liaison

Please enclose cheque for the appropriate amount.

French residents 45€

UK residents 55€ or £38.00

If you wish to pay by VISA Bank Card please click here see bottom ot the page