ALIVE - Coalition to Abolish the Death Penalty e.V.
Membership Form
* = requiredName* Firstname* .. date of birth* (tt.mm.jjjj) Street* Zip-Code* City* Country* eMail-address* private Homepage phone number* cell-phone-number fax-number I am interested in the following working-fields of ALIVE (multiple selection possible) Translation German - English English - German other languages Public relations /Fundraising work with the Media Speeches preparing of Printmaterial Inmate Care campaign work Urgent Actions Preparing of flyers translation/typing of letter for the homepage Newsteam preparing of messages for the newsletter Typing Administration You own ideas
Street* Zip-Code* City* Country*
phone number* cell-phone-number fax-number
I am interested in the following working-fields of ALIVE (multiple selection possible)
Do you have contact to a death row prisoner? no yes
Do you have experiences in human rights work?
Membership-fee: $ 30,00 (yearly) Students/Pensioner: $ 15,00 (yearly)
I am student/pensioner
Do you want to support ALIVE with a donation?
Yes, regularly Amount: $ annually all 6 months all 3 months monthly Yes, from time to time No
Place for you
You will get soon your membership documents. If you have any question feel free to contact us.
Alive - Coalition to Abolish the Death Penalty e.V. Postfach 1326 46363 Bocholt Germany
phone: +49 2871 260515 Fax: +49 2871 260511
info@alive-gegen-todesstrafe.de
Please check your insertions carefully.