Sociιtι des Amateurs de Gιnιalogie de l'Ardθche S.A.G.A.

 B.P. 3 - 07210 CHOMERAC

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Je soussignι (e) Monsieur, Madame, Mademoiselle (rayer la mention inutile)

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- cotisation pour l'annιe 2007 :                                                             13,00 Euros

- abonnement au journal trimestriel pour l'annιe 2007                         France : 13,00 Euros                     

                                                                            Etranger et hors C.E.E. : 29,00 Euros                                                                                                                                                                                                                                                  Total      ….…… Euros

Chθque ΰ ιtablir ΰ l’ordre de la SAGA    Date :……………..………………………….                       

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