Convivium Registration Form

I, undersigned, apply to establish the Slow Food convivium:

Convivium name

Date

Country

and agree to manage it according to the rules stipulated in the Convivium Handbook.

IMPORTANT: Convivium committees may have more than five members.

If any founding member has not yet joined Slow Food, they should register at https://www.slowfood.com/join-the-slow-food-movement/

1. Convivium Leader

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

2. Convivium Treasurer

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

3. Convivium Committee Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

4. Convivium Committee Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

5. Convivium Committee Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

6. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

7. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

8. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

9. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

10. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

11. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

12. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

13. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

14. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

15. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

16. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

17. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

18. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

19. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

20. Convivium Member

Name

Surname

Address

City

Postal code

Membership number
(If you are not a member yet, register here!)

Contact Information