Namn:...........................................................................................
Adress:................................................................................................................
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e-mail:..............................................................
Tel. bostad:......................................................................................
Tel. arbete:.......................................................................................
Födelseår:.............................
Datum:....................... Underskrift:...............................................
Var vänlig, betala in medlemsavgiften till PG 25 41 35-7.
Vi vill be dig att skicka din ansökan till:
Svensk-Österrikiska Föreningen
Gårdsfogdevägen 6
168 66 Bromma
Så snart vi har fått din medlemsavgift skickar vi en bekräftelse.