If you are an association or an individual, willing to participate in the Consultative Assembly of the Peoples Congress, please send the form below to:

World Citizens / ASCOP
Alain Bal, 16 rue de Belleneuve, 21 270 BINGES, France

Association : NAME OF THE ORGANISATION:

Individual :  FIRST NAME : ____________________________ LAST NAME : _____________________

 ADDRESS ___________________________________________________________________________

POSTAL CODE ____________________ CITY _________________________________________

COUNTRY : ________________________________________________________________________

 TEL. : _________________________

e-mail : _____________________________________________________________

 Website ________________________________________________________________________

I hereby accept and sign the world charter and ask for membership in the Consultative Assembly of the Peoples Congress.

(organizations) We agrees to an annual fee of € 20 (25 USD) and to invite our members to join the Consultative Assembly.

Goals of the organization, area of activity, specific interests, proposals.

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