• COOPERATIVE OPERATORS AND PRODUCERS AGRO-INDUSTRIAL MOUNTAINS
COPAM October 2018 in Zagoué

Membership to COPAM

                                                                                                               



Code* :      name* :      First names* :


Nationality* :      Birth date* :      Place of birth* :


Situat. Matri.* :      Children's nber* :      subscription date* :


                                                                                               


                                                                  


Social reason : :

PROFESSIONAL HOME
Address : : Town : : *
Nο Phone : : Nο Phone : :
Nο fax : Nο fax :
Nο portable : Nο portable :
Email : *


Nο CC :                 Trade register :


Nο Piece of identity :                 Register SC :


Secondary activities :                 Main activities :


Date of creation of the company : :


                                               


Name, place and date membership / cancellation at this cooperative : :


Number of shares* :   


Photo of the adherent : :