Giza for Humanity

Membership Application

to be sent to:

Pascal BENZONI

President

Giza for Humanity

41, rue Marie-Noël
78 180 Montigny le Bretonneux - France

Name: ____________________________________________________________

Address: __________________________________________________________

__________________________________________________________________

Zip / Postcode: _______________ Country: ______________________________

Telephones : ______________________________

e-mail : __________________________________

Please indicate your membership category :


Regular: 20 Euros Couple: 30 euros

Sustaining: your choice: Benefactor: 500 euros

Make your check/cheque payable to Giza for Humanity

date and Signature

Thank you for your support. We will sent to you receipt of your membership.

Clic HERE to download the membership document