Anglophone Group of Languedoc Roussillon Online Membership Application Form

	Anglophone Group of Languedoc Roussillon

Applicant First Name:

Applicant Family Name:

Nationality:

Profession:

Spouse/Partner Name:

Nationality:

Profession:

French Address:

Postal code, City:

How long do you intend to stay in the Languedoc Roussillon?:

Home Phone

Mobile

E-mail

Home Address if different from the French one

City, State, Country, Postal Code

Children's Names

Year of Birth (if less than 18 years)

Getting to know you

* The AGLR is run totally by volunteers. Consequently, we are always looking for help J

	Interested?		Willing to help?
	You	Spouse or Partner	You	Spouse or Partner
Excursions
Hikes
Golf
Computers
Photography
Event/Calendar coordination
Coffee mornings/afternoon teas
Bridge
French conversation
New members welcome
Hosting pot luck lunch/dinners
Wine tasting
Gourmet/restaurant outings
Kids club : weekly groups & parties
Teens events
Newsletter: desktop publishing
Newsletter: feature articles
Business breakfasts/drinks
Cooking fun
Film reviews
Book discussion
Special events (quiz, Xmas party...
Other (suggestions are welcome!)