AAG Association d'Aide à Gao

Surname*

First Name*

Firm

Address*

City*

Post Cod *

State*

Tel.

Fax

Mobile

Email

Become a member

individual (annual subscription Frs 50.-)

group (annual subscription Frs 90.-)

Become a volunteer

Sponsor children

I would like to send per month

Starting the

Please send me a payment slip

Participate in a project

I would like to pay

I agree to my name appearing on the website: yes no

Comments

Registration Form