Membership form

To determine the amount of your membership based on your country of residence CLICK HERE. If your country is not listed, thank you to fill out the contact form stating your country of residence, we will send you by mail the amount of your membership.

Print and fill out the form below and attach your payment by check to :

Maison de la Vie Associative et Citoyenne du Quartier latin – 5ème et 6ème-
Boîte 47
4 rue des Arènes
75005 PARIS
Email : aepdspsf@gmail.com

Name :

Address :

Email :

Phone(s) :

Put a cross depending on the type of membership :

• Individual
• Couple