Association Internationale des Juristes de la Vigne et du Vin

International Wine Law Association

SUBSCRIPTION FORM 2007

(1^st January 2007 – 31^st December 2007)

Individual Membership :

125 € (1^st January 2007 – 31^st December 2007)

Surname…..…………………………………………………...……….….. First Name……………………………..……………..…….….

Company……………………………………………………………………..…………………….……………………………………..……

Position…………………………………………………………………………………………….……………………………………………

Address………………………………………………………………………………………………….……………………………………….

Zip Code……….…….….... City………………..……...….………….………. Country……………...………………...………..……..

Tel. N°.………………………………………….…….……………………….. Fax…………………………………………….…….…….

e-mail………………………………………………………………………… Web : http://www.

Corporate Membership :

600 € (1^st January 2007 – 31^st December 2007)

Company……………………………………………………………………..…………………….………………………………..…………

Address………………………………………………………………………………………………….……………………………………….

Zip Code …………….…….….... City………………..……...….…………. Country…………….…………………….………..……..

Tel N°……………………………….……….. Fax………………………………… Web : http://www.

Surname, first name, position and e-mail of the contact person(s)(if your company has several addresses, please use a single form for each one of these addresses.)

1. ……….…..……..……………………………………..…………..……………………………………………………..

2. ………..…………………………………………………………………………………………….……………………

3. ………………………………………………………………………………………...…………………………………

Form to return to the General Secretariat

With your payment for the year 2007 in the following amount :

Time	Individual Membership	Corporate Membership	Retired or Students
2007 (1/1 to 31/12/2007)	125.00 €	600.00 €	60.00 €
Total :

PayPal payment to contact@aidv.org
Bank Cheque to the order of aidv and payable in France	Banque	Guichet	Compte	ClRib
Bank Order: AIDV Crédit Agricole Sud Rhône Alpes PLEASE MENTION YOUR NAME IN THE BANK ORDER	13906	00143	24629235000	24
	IBAN FR76-1390-6001-4324-6292-3500-024 SWIFT BIC AGRIFRPP839

Date Signature