Register form

If you wish to become member of the Association of Solidarity with Kurumbagaram (India), we ask you to fill this bulletin of inscription. The annual contribution is of 20 CHF by member.

Name *
First name *
Address *
City *
Postal code*
Country *
Email
Phone number

* obligatory fields

Return to the page of Kurumbagaram

 

or by post at:

Association de Solidarité avec Kurumbagaram
P.O. Box 10
1723 Marly 2
Switzerland