I, the undersigned,
SURNAME............................. FORENAME :.............................
Yearth of birth ............
FULL ADDRESS ..............................
declare my intention to support the WORLD COMMUNITY AGAINST HUNGER
For the sake of World Cooperation in food, I pledge myself to pay each year not less than ................ ($) (£) (¬) beginning to-day (date) .........
Signed,
Solidarité Mondiale Contre la Faim, 1 ruelle Haute, FR 21120 GEMEAUX (France)
CCP PARIS 10 734 96 Z
IBAN : FR21 2004 1000 0110 7349 6Z02 056 - BIC : PSSTFRPPPAR
Modes
de paiements possibles 
:
- Par
carte bancaire ou compte Paypal (cliquez sur le bouton
ci-dessous) :
