ASOCIACIÓN MULTICULTURAL PRO ARTE DÉNIA Declaration of accession            Nr. First name:                     Last name: Nationality: Address: Phone: E-mail: Date of birth: I accept the statutes of the association (available as PDF file at any time) and accept the one-time entry fee of 20 Euro as well as the annual fee of 30 Euro, valid from January 1 to December 31 of the current year. Date: Signature: Official address of the association: Ctra. Dénia-Jávea 52, Ap. 8                                               03700 Dénia President: Pedro Blasko Phone: 610265986 e-mail: info@proartedenia.com Bank details: ES 70 0081 0615 7100 0225 1135 Banco de Sabadell Account holder: Asociación multicultural Pro Arte Dénia Reason for payment: Pro Arte Dénia Data protection: The association guarantees the data protection of each member. A passing on to third parties is excluded.