New membership request

Email address(Required)

Identification

We need this data to comply with current donation regulations.

Are you a company or entity?(Required)

Yes

Name of company or entity

Fiscal identification number (NIF)

Only if the person who becomes a member is the company/entity, and not the person.

Name and lineage (IN CAPITAL LETTERS)(Required)

First Last

DNI/Resident card(Required)

Address(Required)

Street Address City County / State / Region ZIP / Postal Code Country

Phone number(Required)

Add your phone number so we can contact you if necessary.

Have you become a member from a person who is already a member of the entity?(Required)

Yes

Indicate the full name and ID of the person from whom you became a member

Agricultural farm data

List of local varieties you grow (if applicable)

Municipality

Polygon and plot

Cultivation surface

Type of crop

You are welcome

in dry

Both

Bank account details

La quota anual és de 45 €. Per domiciliar-ne el cobrament indica les dades bancàries. En cas de canvi per favor comunica'ns-ho. En cas que ara mateix no tenguis a mà les dades bancàries, envia igualment el formulari amb la resta de dades i ens posarem en contacte amb tu més endavant.

Current account (IBAN)

It includes the first two letters in capital letters followed by 22 digits WITHOUT SPACES.

This field is for validation purposes and should be left unchanged.