Membership Form

If you want to become a member, please fill out this form and send it electronically. You will receive an annual invoice with payment form.

Mr
Ms

Academic Title

First Name:*

Last Name:*

Acad. Title readjusted

Company

Birth Date

Nationalität

Street/Adress

Postal Code

City

Country

Phone

Email:*

Fax

Please choose type of Membership (yearly fee)*

Individual (50 €)
Legal Person (250 €)
Supporting Member (250 €)
Supporting Company (500 €)
Premium Membership (1.000 € plus)
One-time Donation

Please insert endowment here (only applicable for one-time donation)

Date of entry