
Associazione di Volontariato senza scopo di lucrodedita allo studio e alla diffusionedella Filosofia Spirituale, della Verità Perenne e della Teosofia Dinamica
Via Selvagreca,31- 26900 Lodi (Lo)
Via Bernardino Verro, 89 - 20141 Milano 0371 200527 anche fax- 3478931875
www.devachan-lodi.net

HOW TO TAKE OUT MEMBERSHIP OF DEVACHAN Devachan is a non-profit association and therefore survives thanks to the subscriptions of its associate members. The cost of annual membership, amounting to only € 75,00 gives members the opportunity to take part in all the activities outlined in our programme (see the Lodi and Milan calendars in the programme page), amounting to approx. 1.500 hours of courses, conferences, evening lectures and extraordinary events including the June Gregg Braden and Bruce Lipton event!!
BANCA DI CREDITO COOPERATIVO DI BORGHETTO LODIGIANO
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DEVACHAN ASSOCIATION MEMBERSHIP REQUEST FORM
I hereby request regular annual membership of Associazione Devachan - Via Selvagreca, 31 – Lodi (Italy), and the faculty to utilize the Association’s structures and services during the course of the current year and benefit from the facilities offered to associate members. I furthermore declare I will respect the Association’s Statute and confirm payment of the enrolment fee.
Personal data: (to be completed by Devachan) Membership card no. ………………..
NAME…………………………………………………………………………………………………………………………………
SURNAME…………………………………………………………………………………………………………………………..
DATE OF BIRTH……………………………………………
PLACE OF BIRTH…………………………………………………………………………………………………………….
CURRENT RESIDENCE
Address ………………………………………………………………………………………………………………………………
Postal code …….... Town…………………………………………………………..Country…………………………………..
Tel………………………………………… Cell…………………………………….. Fax……………………………………….
E-mail…………………………………………………………………………………………………………………………………
Diploma …………………………………………………. Profession……………………………………………………….
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Date………………………………….. Signature……………………………………………………………………
The above request for Devachan membership is subject to confirmation. The Board of Directors reserves the right to decide on acceptance or rejection within 90 days from receipt of request and membership fee. After 90 days the request is understood to be automatically accepted. In case of non-acceptance, for any reason whatsoever, amounts paid will be reimbursed. The above data are for internal Association use only and email addresses will be used solely to transmit material concerning the activities and events within the sphere of the Association’s activities. We declare that the data will not be used for any secondary purposes.
Devachan