Istitutional Membership 2020

Membership form


Institutional Information

 * mandatory field

Institute:*
Acronym:*
Address:*
Post code:*
City:*
Country:*
Url:*
MAILING ADDRESS
Title:*
Name:*
Surname:*
Gender:
Female Male
E-mail address:*
Telephone:


(country code) (city code) (Number) (Extension)

Fax:


(country code) (city code) (Number) (Extension)


PRIVACY PROTECTION, IAERE STATUTES, MEMBERSHIP DIRECTORY

Having read the privacy policy (http://www.iaere.org/06_legalnotes_00.html) of this website:



  • With regards to the processing of my personal data for the operations necessary to enable the management of my membership with IAERE and related formalities

    I consent I do not consent

    I am aware that, without my consent, IAERE cannot process my membership application and related formalities.
     

  • With regards to the inclusion of my contact details in the IAERE mailing lists:

    I consent I do not consent

    I am aware that, without my consent, IAERE cannot include my email address in the IAERE mailing lists aiming at circulating infomation about the Association activities.
  • With regards to the inclusion of my identification and contact details in IAERE online membership directory:

    I consent I do not consent

    I am aware that, without my consent, IAERE cannot disclose my personal data.

  • I accept IAERE Statutes.

    Yes No

    I am aware that, without my consent, IAERE cannot process my membership application and related formalities.


MEMBERSHIP CATEGORY

  Annual   Triennial
(2020-2022)
- University € 200.00
 € 540.00
- Standard  € 1000.00
€ 2700.00
 
 

 

After the submission of your membership form, you will receive a request of payment with all the payment details.

 

CAPTCHA Image [ Different Image ]