Membership application form

for individuals and families

Name	.........................................................................................
Address for correspondence	Street Post code, City Country Telephone Fax Email	......................................................... ........................................................ ........................................................ ........................................................ ........................................................ ........................................................

I / We apply for	Individual Membership (25,00 € / 37,50 CHF per annum)
	Family Membership (30,00 € / 45,00 CHF per annum)
	Life Membership (250,00 € / 375 CHF)

Subscription	€/CHF..........................................
Donation to EVU	€/CHF..........................................
For bank charges, overseas postage etc. (9 € if you send other currency than € or CHF)	€/CHF..........................................
Total sum	€/CHF..........................................

Date ............................... Signature .....................................................

Please print this form and send your application and payment to:

European Vegetarian Union
Werner Gerritsen (Treasurer)
Niederfeldstrasse 92
CH-8408 Winterthur
Phone.: +41 71 477 33 77,
Fax: +41 71 477 33 78