Association France – Grande Bretagne, Lyon & Rhône
Contact: fgblyon@gmail.com Web site: www.fgb-lyon.org
Membership form/Formulaire d’inscription 2022-2023
Mr / Mrs / Miss Family Name /Nom…………………………………………………………………………………………………………………………………
First Name(s) /Prénom(s)……………………………………………………………………………………………………………………………………………………….
Address / Adresse ……………………………………………………………………………………………………………………………………………………………………
Post code + Town / Code Postal + Ville…………………………………………………………………………………………………………………….……………
Tel. No…………………………………………………………….… Mobile Tel/Numéro de portable ……………………………………………………
Profession(s) ……………………………………………………………………………………………………………………………………………………………………………..
e-mail address /adresse e-mail ………………………………………………………………………………………………..…………………………………………………………….
Date …………………………………………………………………………………………………………………………………………………………………………….……….……
I am interested in the following activities of the association /Je suis intéressé(e) par les activités suivantes:
English-speaking luncheons [ ] Book reading & discussion circle [ ] Cinema in English V.O. [ ]
English conversation groups [ ] Scrabble in English [ ] Talks by visiting speakers [ ]
Poetry reading (Poets’ Corner group) [ ] Visits to places / events of interest (Lugdumen group) [ ]
Pub Quiz [ ] Day/Half day visits [ ] Other activities: your suggestions ……………………………………………………………………………………
🡪 I wish to receive Newsletters by email [ ]
🡪 I wish to receive Newsletters by post, & I have added 12€ to my subscription for this service [ ]
We would like to illustrate our website from time to time with photos taken at some of our events
🡪 If you do not want your photo to appear on our website, please tick this box [ ]
Subscription /Cotisation 2022 - 2023
Newsletters sent by email:
Individual /individuel 30 € Couple /couple 45 € Student /étudiant 15 €
Corporate /entreprise 250 €
Newsletters sent by post:
Individual /individuel 42 € Couple /couple 57 € Student /étudiant 27 €
Please send an email to Valerie Tuppen (valerietuppen@yahoo.co.uk) and make a direct bank transfer to the AFGB Bank account BIC (SWIFT) code AGRIFRPP878,
IBAN FR76 1780 6002 9904 1103 0167 217 (AFGB preferred method).
OR
I enclose a cheque for/Je joins un chèque de …………………………………. Euros, payable to / payable à : Association France – Grande Bretagne, Lyon & Rhône sans mention de nom de personne.
Please send this form & your cheque to /Merci d’envoyer ce formulaire avec votre chèque à :