Registration in the CSTH

Title:

Name:

Surname:

Birthday:

Profession:

Street and number of houses:

City:

Post Code (Zip):

State:

Telephony Numbers:

E-mail: @

Http://

Interest about *): articulate, amphibians, turtles, crocodiles, lizards, snakes, birds, mammals; classification, breeding, ecology, ethology, protection, faunology, general

I apply for member of Ceska spolecnost pro teraristiku a herpetologii v Praze (CSTH).

Further informations for the Secretariat of CSTH:

Signature:

*) inappropriate delete

**************************** END OF REGISTRATION ******************************

Copy, fill up, and send: csth@quick.cz

To Membership