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BECOME A MEMBER!!!

Dear Mr./Mrs. President,


I am writing to you to request, through your Directive Committee, my acceptance as  a(n)

member of the institution, according to the conditions established in the existing statute

Yours faithfully.
 
Personal Data
Surname
Name
ID / Passport Number
Date Birth
Nationality
Address
City
Marital Status
Occupation
Telephone Number
Mobile Number
E-mail Adress
   
Payment  

Current account depposit.
Name: AOSIN
Bank: Banco Provincia del Neuquén
Account Number: 364409/1

Transfer to current account Cash (at the concerts) Home Collection

 
Data for the home collector
Collection Adress:
Convenient time:
   
*All items should be completed
fotografías: Jorge A. Cáceres y Mike Mercau
 diseño y desarrollo LIA TACCO