Membership form

If you are a student, an adult, and you want to be a member of the association, please fill in the membership form and pay your membership fee by cheque or bank transfer to:

By cheque, send it to:

Association Henry Vieuxtemps
3 boulevard des Bénédictions
13012 Marseille – FRANCE

By bank transfer

Account number: 00037262058
IBAN: FR76 3000 3012 5100 0372 6205 823
BIC: SOGEFRPP

I wish to become a member of the association and pay the yearly membership fee as

I wish to become a member of the association and pay the yearly membership fee as