COUPON for those to whom life on Earth is not indifferent-click save as from the file menu, download the coupon to your desktop and send it as an attachment to our office "gaia@ecn.cz"

Your name:

Address, postal code:

Phone, e-mail:

I am contributing to the development of Agentura GAIA with a financial 

gift……………

I wish to contribute regularly ……………… monthly by standing order from the 

account no.:

I wish to be a member of Agentura GIA and will pay a membership:

 

(minimum: 200 CZK per year)

You can pay: personally or by mail on Agentura GAIA address at Lublaňská 18, 120 00 Praha 2, or by direct order to our account no: 0007312349/0800 

THANK YOU VERY MUCH FOR YOUR SUPPORT