Domanda ammissione

Chi desidera diventare socio può inoltrare richiesta scritta al Consiglio Direttivo dell’Associazione.
Si riporta di seguito il fac-simile della domanda che si può inviare per posta o consegnare a mano.
Per scaricarlo clicca qui.

Al CONSIGLIO DIRETTIVO
dell’Associazione di Volontariato
FONDO SOLIDALE PER ADOZIONI A DISTANZA
POZZO DI GIACOBBE
Via Roma n. 169
61032 – F A N O (Pesaro)

Fano, lì ………………

Oggetto: Richiesta di ammissione a socio

Il/La sottoscritto/a ……………………………….……….……….………………………………….
nato/a a …………….…….….………………………………… il ……………………………..…..…
e residente a …………………………………… in via …………………….………………….……
codice fiscale ……………………………..………….……… telefono/cell ………….……….

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di essere ammesso/a come socio di codesta Associazione di volontariato condividendone le finalità e lo spirito di solidarietà.
Si impegna a rispettare lo Statuto Sociale e le altre deliberazioni prese dell’Assemblea dei Soci nonché a versare la quota associativa che ogni anno codesto Consiglio andrà a determinare.
In fede

_________________________
(firma)

Altre informazioni ad uso statistico per la Regione:
Titolo di studio: diploma scuola media inferiore (_) diploma scuola
media superiore (_) laurea (_)
Condizione Professionale: occupato (_) pensionato (_) altra condizione (_)

Il/La sottoscritto/a acconsente inoltre al trattamento dei propri dati personali ai sensi del D.Lgs 196/2003

_________________________
(firma)

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