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organization

Name

First name

Adress

Téléphone

Individual Member

Regular rate Reduced rate

Institutional member

Institution with regional, sub-regional or international vocation For-profit organization Non-profit organization

Duration *

1 year 2 years 3 years

Comment

Membership Fees

Duration	Regular Fee	2 years (-10%)	3 years (-20%)
1 year	100.- CHF	180.- CHF	240.- CHF

Duration	Fee	2 years (-10%)	3 years (-20%)
1 year	60.- CHF	120.- CHF	180.- CHF

Type of Institution	1 year	2 years (-10%)	3 years (-20%)
Regional, sub-regional, or international institution	200.- CHF	360.- CHF	480.- CHF
For-profit organization	200.- CHF	360.- CHF	480.- CHF
Non-profit organization	100.- CHF	180.- CHF	240.- CHF

Association CIPINA

PostFinance SA

Bank account : 12-457012-3

IBAN CH67 0900 0000 1245 7012 3

BIC : POFICHBEXXX

Clearing : 9000

Adresse : PostFinance SA, Mingerstrasse 20

3030 Bern

Suisse

Center for Information and Promotion of the Image of a New Africa

Beneficiary: CIPINA
BIC: POFICHBEXXX
Clearing: 9000
Address: PostFinance SA, Mingerstrasse 20, 3030
Bern

From Switzerland CCP 12-457012-3 or IBAN CH67 0900 0000 1245 7012 3 From abroad
CH67 0900 0000 1245 7012 3