Pladge of ................... (equivalent of USD......)
- 1997 membership of the Transnational Radical Party 1997 (see quote at bottom)
- Contribution for the campaign .................
.........................................................
First Name...............................................
Last Name................................................
Place and date of birth..................................
Address (street, city, zip, nation)...........................
.........................................................
Tel........................... Fax.......................
Email................................
Payment:
1. With a credit card:
Credit card Account Number..............................
Card Company......................
Signature......................... Date of Exp...../.....
Send this form by fax to: +32-2-230.36.70 - 284.91.97 / 98
or phone to: +32-2-230.41.21
2. Through a bank (transfer):
Have deposit sent to:
Transnational Radical Party
(Banking Institute - BBL Agency of European Parliament, rue Belliard 97-113 - 1047 Brussels BELGIUM)
(Account #) 310-1075385-32
_______________________
SUBSCRIPTION FEES 1997: The subscription fes vary from nation to nation, according to the criteria of 1% of the PIL. They follow the fees relative to the distibution of the bulletin in the nations where it is most diffuse. For the missing nations, please contact the editorial office.
Albania 5 USD - Austria 2.400 ATS - Azerbajian 3 USD - Belgium 7.000 BEF - Bulgaria 8 USD - Canada 285 CAD - Czech Republic 27 USD - Croatia 35 DEM - Denmark 1.800 DKK - France 1.300 FRF - Germany 460 DEM - Hungary 27 USD -Ireland 78 IEP - Italy 365.000 LIT - Netherlands 370 NLG - Poland 23 USD - Portugal 11.600 PTE - Rumania 12 USD - Russia 19 USD - Slovenia 85 DEM - Spain 17.600 ESB - Switzerland 500 CHF - Ukraine 13 USD - United Kingdom 129 GBP - United States 260 USD
_______________________
(Published by TRANSNATIONAL #12, May 27th, 1997
BULLETIN OF INFORMATION AND ACTION ON THE CAMPAIGNS OF THE TRANSNATIONAL RADICAL PARTY)
