53 lines
1.2 KiB
TeX
53 lines
1.2 KiB
TeX
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\documentclass[a4paper, 12pt]{article}
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\usepackage[T1]{fontenc}
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\usepackage[utf8]{inputenc}
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\usepackage[a4paper,margin=2cm,top=1cm,bottom=1cm]{geometry}
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\usepackage{setspace}
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\usepackage{amsmath}
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\usepackage{amssymb}
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\newcommand{\unit}[1]{\textrm{\thinspace #1}}
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\begin{document}
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\pagestyle{empty}
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\begin{center}
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{\bf Membership form}
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\end{center}
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I undersigned {\sf Mr / Ms} \dotfill \\
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certifies on the honor to have read and understood the \emph{ASRM rules and regulations} and I am committed to respect it.
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In confirmation with the article 27 of the French law of ``Information and Freedom'' of January 6, 1978, you have the right of access and of rectification to your information.
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\setstretch{1.3}
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\begin{center}
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\begin{tabular}{ll}
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{\bf Subscription} \\
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\hline
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Subscription fee : \\
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Cable : \\
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Adaptator TU2 -- ET100 : \hspace{1.5cm} \\
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Misc. : \\
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Total amount : \\
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\hline
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Paid by {\sf check / cash} \\ % US translation
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\end{tabular}
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\end{center}
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\setstretch{1}
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\noindent Signed and accepted in Metz on (dd / mm / yyyy) : \\
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\noindent\fbox{\begin{minipage}{.5\linewidth}
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The user:\\ \textsuperscript{\tiny Handwrite ``Read and accepted''}
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\vspace{2cm}
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\end{minipage}}
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\end{document}
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