AI logo China 1    MEMBERSHIP &
COLLABORATION
 

    Application Form

Write! Welcome !

NAME:

________________________________________

ADDRESS:

________________________________________
 
________________________________________

TEL:

________________________________________

OCCUPATION:

________________________________________

DATE OF
APPLICATION:

________________________________________

X

I want to be an ACTIVE MEMBER
X NON-ACTIVE MEMBER
X PARTICIPATION in LOCAL Group
X URGENT ACTION Network
X MAGRAN
X Receive information about AI Professional Groups
ANNUAL FEE:200 Patacas
210 HK Dollars
 

    "REMEMBER"     return after printingback to previous page after applcation-print
Amnesty International Macau
Rua da Rosa, 15
Edifícío Pak Wah
Mezzanine B
Apartado 1064
MACAU
Fax: +852 301 403
Email: admin-mc@amnesty.org
Internet:  www.boes.org/ai/macau

  One more complete Human Rights webproject by BOES.ORG
barbed wire, splitversion