ALIVE - Coalition to Abolish the Death Penalty e.V.

Membership Form

* = required
Name*  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

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: $
  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.