Powered by
New contribution
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 no-reply@unt-france.fr.
Nature of member
*
Individual
Corporation
Company
First name
*
Last name
*
Email
*
Gender
Male
Female
Other
Address
Zip Code / City
/
Country
Afghanistan
(AF)
Åland Islands
(AX)
Albania
(AL)
Algeria
(DZ)
American Samoa
(AS)
Andorra
(AD)
Angola
(AO)
Anguilla
(AI)
Antarctica
(AQ)
Antigua and Barbuda
(AG)
Argentina
(AR)
Armenia
(AM)
Aruba
(AW)
Australia
(AU)
Austria
(AT)
Azerbaijan
(AZ)
Bahamas
(BS)
Bahrain
(BH)
Bangladesh
(BD)
Barbados
(BB)
Belarus
(BY)
Belgium
(BE)
Belize
(BZ)
Benin
(BJ)
Bermuda
(BM)
Bhutan
(BT)
Bolivia
(BO)
Bosnia and Herzegovina
(BA)
Botswana
(BW)
Bouvet Island
(BV)
Brazil
(BR)
British Indian Ocean Territory
(IO)
Brunei Darussalam
(BN)
Bulgaria
(BG)
Burkina Faso
(BF)
Burundi
(BI)
Cambodia
(KH)
Cameroon
(CM)
Canada
(CA)
Cape Verde
(CV)
Cayman Islands
(KY)
Central African Republic
(CF)
Chad
(TD)
Chile
(CL)
China
(CN)
Christmas Island
(CX)
Cocos (Keeling) Islands
(CC)
Colombia
(CO)
Comoros
(KM)
Congo
(CG)
Congo, The Democratic Republic of the
(CD)
Cook Islands
(CK)
Costa Rica
(CR)
Croatia
(HR)
Cuba
(CU)
Curaçao
(CW)
Cyprus
(CY)
Czech Republic
(CZ)
Denmark
(DK)
Djibouti
(DJ)
Dominica
(DM)
Dominican Republic
(DO)
Ecuador
(EC)
Egypt
(EG)
El Salvador
(SV)
Equatorial Guinea
(GQ)
Eritrea
(ER)
Estonia
(EE)
Ethiopia
(ET)
Falkland Islands
(FK)
Faroe Islands
(FO)
Fiji Islands
(FJ)
Finland
(FI)
France
(FR)
French Guiana
(GF)
French Polynesia
(PF)
French Southern Territories
(TF)
Gabon
(GA)
Gambia
(GM)
Georgia
(GE)
Germany
(DE)
Ghana
(GH)
Gibraltar
(GI)
Greece
(GR)
Greenland
(GL)
Grenada
(GD)
Guam
(GU)
Guatemala
(GT)
Guernsey
(GG)
Guinea
(GN)
Guinea-Bissau
(GW)
Haïti
(HT)
Heard Island and McDonald
(HM)
Holy See (Vatican City State)
(VA)
Honduras
(HN)
Hong Kong
(HK)
Hungary
(HU)
Iceland
(IS)
India
(IN)
Indonesia
(ID)
Iran
(IR)
Iraq
(IQ)
Ireland
(IE)
Isle of Man
(IM)
Israel
(IL)
Italy
(IT)
Ivory Coast
(CI)
Jamaica
(JM)
Japan
(JP)
Jersey
(JE)
Jordan
(JO)
Kazakhstan
(KZ)
Kenya
(KE)
Kiribati
(KI)
Kosovo
(XK)
Kuwait
(KW)
Kyrgyzstan
(KG)
Lao
(LA)
Latvia
(LV)
Lebanon
(LB)
Lesotho
(LS)
Liberia
(LR)
Libya
(LY)
Liechtenstein
(LI)
Lithuania
(LT)
Luxembourg
(LU)
Macao
(MO)
Macedonia, the former Yugoslav of
(MK)
Madagascar
(MG)
Malawi
(MW)
Malaysia
(MY)
Maldives
(MV)
Mali
(ML)
Malta
(MT)
Marshall Islands
(MH)
Mauritania
(MR)
Mauritius
(MU)
Mayotte
(YT)
Mexico
(MX)
Micronesia
(FM)
Moldova
(MD)
Monaco
(MC)
Mongolia
(MN)
Montenegro
(ME)
Montserrat
(MS)
Morocco
(MA)
Mozambique
(MZ)
Myanmar (Burma)
(MM)
Namibia
(NA)
Nauru
(NR)
Nepal
(NP)
Netherlands
(NL)
New Caledonia
(NC)
New Zealand
(NZ)
Nicaragua
(NI)
Niger
(NE)
Nigeria
(NG)
Niue
(NU)
Norfolk Island
(NF)
North Korea
(KP)
Northern Mariana Islands
(MP)
Norway
(NO)
Oman
(OM)
Pakistan
(PK)
Palau
(PW)
Palestinian Territory, Occupied
(PS)
Panama
(PA)
Papua New Guinea
(PG)
Paraguay
(PY)
Peru
(PE)
Philippines
(PH)
Pitcairn Islands
(PN)
Poland
(PL)
Portugal
(PT)
Puerto Rico
(PR)
Qatar
(QA)
Romania
(RO)
Russia
(RU)
Rwanda
(RW)
Saint Barthelemy
(BL)
Saint Helena
(SH)
Saint Kitts and Nevis
(KN)
Saint Lucia
(LC)
Saint Martin
(MF)
Saint Pierre and Miquelon
(PM)
Saint Vincent and Grenadines
(VC)
Samoa
(WS)
San Marino
(SM)
Sao Tome and Principe
(ST)
Saudi Arabia
(SA)
Senegal
(SN)
Serbia
(RS)
Seychelles
(SC)
Sierra Leone
(SL)
Singapore
(SG)
Sint Maarten
(SX)
Slovakia
(SK)
Slovenia
(SI)
Solomon Islands
(SB)
Somalia
(SO)
South Africa
(ZA)
South Georgia and the South Sandwich Islands
(GS)
South Korea
(KR)
Spain
(ES)
Sri Lanka
(LK)
Sudan
(SD)
Suriname
(SR)
Svalbard and Jan Mayen
(SJ)
Swaziland
(SZ)
Sweden
(SE)
Switzerland
(CH)
Syrian
(SY)
Taiwan
(TW)
Tajikistan
(TJ)
Tanzania
(TZ)
Thailand
(TH)
Timor-Leste
(TL)
Togo
(TG)
Tokelau
(TK)
Tonga
(TO)
Trinidad and Tobago
(TT)
Tunisia
(TN)
Turkey
(TR)
Turkmenistan
(TM)
Turks and Caicos Islands
(TC)
Tuvalu
(TV)
Uganda
(UG)
Ukraine
(UA)
United Arab Emirates
(AE)
United Kingdom
(GB)
United States
(US)
United States Minor Outlying Islands
(UM)
Uruguay
(UY)
Uzbekistan
(UZ)
Vanuatu
(VU)
Venezuela
(VE)
Vietnam
(VN)
Virgin Islands, British
(VG)
Virgin Islands, U.S.
(VI)
Wallis and Futuna
(WF)
Western Sahara
(EH)
Yemen
(YE)
Zambia
(ZM)
Zimbabwe
(ZW)
State/Province
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
Date of birth
URL of photo/logo
Numéro SIREN/SIRET
*
Numéro ADS
*
Commune de l'ADS
*
Nombre d'ADS par entreprise
*
Nombre de salariés par entreprise
*
Comments
Contribution
Euros
Security code