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SPPS supporting organization inquiry form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Name of organization
*
Your answer
Type of organization
*
Research group
Research Institute
Educational facility, academy, school or university
Industry
Other:
Street Address
*
Your answer
Postal Code / City
*
Your answer
Country
*
Your answer
E-mail address
*
Your answer
How many members does your institute want to register?
*
Small, up to 10 members 100€
Medium, 10-25 members 200€
Large, 25-50 members 500€
Alternative billing address or billing information
Your answer
By submitting this form I confirm that I have the right to apply to become a supporting organization in the name of the institution and for the organization to be billed for the membership fees to the given address.
*
I agree
Required
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