Be partner

	Observatory for Social and Economic Development in the Basque Country login e-mail Site map search home Syndication RSS
About Gaindegia The Observatory Mission Statement Structure and tasks Original bases Works of the Observatory Reports Publications Weblinks Be partner Contact Post list Endowment Gaindegiaren laguntzaileak	Home Be partner Order form Please complete the following order form: Identification Full name: EHNA or other identity card number: Date of birth: yyyy/mm/dd Contact information Street number, street name and apartment number: City: Zip code: Province or state: Phone number: Alternative phone number: E-mail address: Alternative e-mail address: Instructions What language would you prefer to receive materials in?: Basque French Spanish How would you like to receive materials?: By e-mail By regular mail Membership Type of membership: Regular member (100 € per year) Supporting member Benevolent member (benevolent members will be corporations and they will decide how they wish to contribute financially) Form of payment: 600 € per year Five year´s dues paid in advance We will contact you to request bank details needed to effect payment Other Occupation: Business owner Professional Journalist Union member Academic Other Educational background: Pre-university University degree Doctorate Profession: Company/place of work: What languages do you speak?:
	GAINDEGIA. 943 30 43 65 Tel./Fax. - Posta-e. Martin Ugalde Kultur Parkea. Gudarien Etorbidea 8, 20140 Andoain

Order form