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New subscription
This form allows you to record your subscription as a new member of the foundation. If you want to renew your subscription (if already a member), please contact foundation board instead by email grbai@me.com.

Fields with * are mandatory
Type *
Nature *
Title
Last name *
First name *
Company
Address
Zip Code / City /
Country
State/Province
Email *
Login *
Password *
Retype password a second time *
Date of birth
URL of photo/logo
Information are public
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