Association de la Presse Anglo-Américaine de Paris
Since 1907

Application for Membership

Name ……………………………… Nationality ………………………………

Email Address …………………………………………………………………..

Home Address …………………………………………………………………..

Telephone ……………………………………………………………………….

Mobile ……………………………………………………………………………….

Organisation ……………………….. Position …………………………………..

Office Address and Telephone ………………………………………………….

……………………………………………………………………………………

Date …………………………………. Signature …………………………………

Signatures of TWO sponsors who are ACTIVE members:

…………………………………………………………………………………….

…………………………………………………………………………………….

This application, when completed, should be sent to the Secretary of the Association:
Axel KRAUSE,
67 rue Hallé,
75014 Paris.
Tel: 01 45 45 74 00.

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THE SPACE BELOW SHOULD BE LEFT BLANK

Received …………………………………………………………………………..

Submitted to the Committee ………………………………………………………

Action taken  :  Elected to ACTIVE Membership

Elected to ASSOCIATE Membership