I want to work as a volunteer

 

Surname and initials         

Date of birth                                  Profession  

Address                             

Postal code and town          

Country                         

Phone number            

E-mail                       

What kind of work ar activities are you interested in                                        

Hobbies and interests      

Languages                   

Amount of time you would like to spend   

Date.......................              Signature:…………………………………………

  ________________________________________________________________________  

Please, print and send a signed confirmation by mail or fax to

International Free Women΄s Foundation • Willebrordusplein 10a • NL- 3037 TC Rotterdam

Fax: 0031 (0) 10 265 14 60  •  Tel.: 0031 (0) 10 465 1800  •  Postbank 6218545 (Netherlands)

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