EULETA Membership Request for Invoice
If you register as a single individual member you do not necessarily need to fill out this form as you will be sent an automatic invoice to your email once you register and pay online.

Only fill out this form if you are registering for membership such as institutional membership and someone else is paying e.g. an institution or company.

Note:
If you are registering for -

- institutional membership please include the details of the 3 members you wish to register under your institutional membership (which is included in the price of membership).

- supporting membership please include the details of the 5 members you wish to register under your supporting membership (which is included in the price of membership).

Any questions related to this specific matter should be sent to webmaster@euleta.org

If you do not receive your invoice within 7 days of submission please email the EULETA board treasurer Sophia Barinova: sophia@euleta.org

If you wish to pay before receiving your invoice please make payment to:

Bank: Volksbank Raiffeisenbank eG, Steinbeckerstrasse 26, D-17489 Greifswald, BLZ 150 616 38, Kto-Nr. 000111 3925 IBAN: De41150616 28000 111 3925 BIC: GENODEF1ANK

You must send proof of payment to sophia@euleta.org who will issue you an invoice and receipt of payment. Please note that if you do this you must still fill out this form with your details.
Full Name of registering Institution e.g. The University of... (Type N.A if individual) *
Your answer
Full name of Person / Institution to be billed on the invoice *
Your answer
Full name (s) of member (s) to register *
Your answer
Email address (es) of member (s) to register *
Your answer
Email address of institutional administrative contact in charge of invoice (Type N.A if individual) *
Your answer
Telephone number of Person / Institution to be billed *
Your answer
Billing address *
Your answer
What type of membership? *
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