Contact detailsFirst Name *Your first nameLast Name *Your last nameDate of birth *You must be over 16 years old to become a Pedalo cooperatorPhone numberThis field is optional but can be useful if we need to contact you. It will not be used for commercial purposes and will not be shared.Email *Your email addressStreet *box, aptMunicipality *Postal Code *SubscriptionName of your sponsor (if applicable)Number of category A shares *“4“ is the number of shares recommended to ensure the sustainability of the project. For even more lasting support, you have the option of taking more than 4 share. As a mean of being a project open to everyone, it is also possible become a cooperator with less, please contact us at info@lepedalo.beTotal payable amountEURStatutes of the cooperative Le Pedalo S.C. *I accept the statutes of the cooperativeI would like to benefit from the Tax Shelter *YesNoYou will receive a certificate each year with the amount that makes you elligible for a tax reduction when you file your taxes ( Box X, II in your tax return)PaymentPlease wire the amount indicated directly on our account BE65 1431 1374 1796 with your name and surname in the communication box .Je deviens coopérateur.trice
