memorandum for parents school year 2011-2012 european school ...

The Parents Association of the European Schools in Luxembourg
L’Association des Parents d’Elèves des Ecoles Européennes au Luxembourg
Die Elternvereinigung der Europäischen Schulen in Luxemburg
A.P.E.E.E. MEMBERSHIP STANDING ORDER / BANK TRANSFER FORM *
(Please complete form using capital letters)
I, the undersigned: First name :
[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_
][_][_][_][_][_][_][_] Last name :
[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_
][_][_][_][_][_][_][_]
(Home address) Street, No.:
[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_] Post Code :
[_][_][_][_][_][_][_] Town : [_][_][_][_][_][_][_][_][_][_][_][_][_][_][_]_][_][_][_] Phone No. :
[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_] E-mail :
[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_]
(Work address) Institution/Company :
[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_] Street, No.:
[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_] Post Code :
[_][_][_][_][_][_][_] Town : [_][_][_][_][_][_][_][_][_][_][_][_][_][_][_]_][_][_][_] Phone No. :
[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_] E-mail :
[_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_]
Language section(s) of children attending the school (e.g. DE,EN,FR … ) : [__][__][__]
Number of children in Nursery (M), Primary (P) or Secondary (S) cycle: M [__] P [__] S [__]
Authorise my bank [___][___][___][___][___][___][___] to transfer from my account number
IBAN [_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_][_]the sum of 24 Euro
the first time on __/__/20__ and thereafter on 1st October of each year, this sum
being my annual subscription to the Parents’ Association of the European Schools in
Luxembourg, to
the following account:
SOCIÉTÉ GÉNÉRALE BANK & TRUST Account IBAN LU77 0611 0037 7320 0EUR
or CCP Account IBAN LU81 1111 0939 4145 0000
or BCEE Account IBAN LU64 0019 2555 5628 0000
Luxembourg, (date) __/__/200_ Signature ______________________________________________
Please note :
* This standing order cancels and replaces any existing standing order in favour of theParents’Association of the European Schools in
Luxembourg.
+ The 'EUR' is part of the SOCIÉTÉ GÉNÉRALE BANK's IBAN account numbers and must be included.
PLEASE RETURN TO:
APEEE Secretariat -Room C1/004, JMO Building -European Commission -Kirchberg L-2920