(TICK/CHECK WHERE APPROPRIATE)

Type of membership: Individual Institutional

Fees are for two years: For Institutional members - US$100, for Individual members - US$50.
A special reduced membership fee is available on the approval of the Executive Committee.

 

Name/Institution:

Address:

City:

Country:

Country/ Zip Code:

Telephone:

Type of Institution:

E-Mail:

Fax:

Name of President or Head of the Institution or Association (Institutional Members):

Profession/Occupation (Individual Members):

Institutional Affiliation:

Main fields of study:

Main areas of academic/professional interest:

Would you consider collaborating with a working group?

Yes

No

If yes, in which area or field(s):

Language area in which you want to be registered for voting purposes:

English Spanish Dutch French

Signature:

Date: