The House of the Music
A n t s i r a n a n a - L a R Ă© u n i o n

Association ZOMARE Indian Ocean
Appt 49-B residence Hibiscus 4 rue des Dodos 97470 Saint-Beno”t. France
Tel.: +262.2.62.71.06.42 -
www.zomare.com - E-mail: zomare@laposte.net

Become Godmother and Godfather
school of Music and Dance of Diego Suarez - MADAGASCAR
Sponsorship for one year USA - United Kingdom
Year 2012

Association ZOMARE Indian Ocean
11 Lotissement Moreau - Rivière des Roches
97434 Saline-les-Bains - France

Formule #1: Give once per annum

I address a cheque established to the order of
association ZOMARE Indian Ocean.

31 Euros 40 Euros 60 Euros ..... Euros

Specify your co-ordinates below.

Formule #2: Monthly transfer *

I choose a transfer
monthly magazine of:

10 Euros 20 Euros 30 Euros ..... Euros

With this intention, I takes the steps near my bank.
Specify your co-ordinates below.

* With this type of sponsorship, we ensure all
the year at the school a regular operational budget.

Your co-ordinates:

Mrs., Miss, Mr.
----------------------------------------------------------------------------------------
Address
----------------------------------------------------------------------------------------
Postal code
----------------------------------------------------------------------------------------
City
----------------------------------------------------------------------------------------
Telephone
----------------------------------------------------------------------------------------
Fax
----------------------------------------------------------------------------------------
Email
----------------------------------------------------------------------------------------


I adhere to association ZOMARE Indian Ocean. My contribution is included in sponsorship.