SHAREHOLDER'S CLUB

If you wish to become a member of the S.T.Dupont Shareholder's Club please fill in your name and address.

Fields marked with an asterisk (*) are mandatory.


Last name*
First name*
E-mail*
Address*
Zip code*
City*
Phone
Fax


Legal Declaration
"I hereby solemnly declare that I hold at least 25 shares of S.T. Dupont" (obligatory condition to become a member).