IASPRR IASPRR

IASPRR - Membership Form

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If you would like to join, please answer the questions in this form and submit it to the Secretary, IASPRR.
The field marked with * have to be filled in.

Personal information
Name*:
Forenames*:
Title (Dr. Prof. Student, etc.):
Institute:
Street*:
City*:
Postal code*:
State or Province:
Country*:
 
Telephone number:
Fax number:
Email*:
 
Membership and payment
Type of membership (select one): Individual member (Annual fee: €20.- )
Student member (Annual fee: €10.- )
Corporate member (Annual fee: €100.- )
Lifetime membership (€200.- )
Prepayment: I want to pay the fee for years in advance.
 

IASPRR would appreciate that payment be made for a 2 years or more to simplify our record-keeping and for the continuity of the Society.

 
Do not share my data with other members.
 
(Your data will not yet be submitted.)