FORM FOR NDPT SUPPORTERS

SPECIAL FORM FOR NDPT SUPPORTERS
(Exclusive to Non-Tibetans who want to support the Party as Friend and / or Sympathizer)
I wish to become a member of the National Democratic Party of Tibet:
Name : ………………………………………………………………………………………………………………………
Address : ……………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………..

Occupation: …………………………………………. Phone no : ……………………………………………………..
Fax : ………………………………………….. E-mail : …………………………………………………….

Member of (Names of Parties, Unions, and Organization, individual)
……………………………………………………………………………………………………………………………………….

Membership Fee:

Single annual membership                                                      € 10,00

YES, I WISH TO SUPPORT NDPT
I am enclosing a donation of € 20, € 50, € 100 and others………………………………………………………..
Name : ……………………………………………………………………………………………………..
Address : ……………………………………………………………………………………………………..
Postal Code : ……………………………………………………………………………………………………..
Phone no : ……………………………………………………………………………………………………..
E-mail : ……………………………………………………………………………………………………..
______________________________________________________________________________
For Office use only:
Registered on: Supporter No: ………………………….


Signature of the Registration Officer:
………………………………………………….
President (NEC)

Lascia un commento

Il tuo indirizzo email non sarà pubblicato.