RAMICS 2018 - Membership Application Form

Please fill in and submit the following information.
Payment instructions for the membership fee will be sent to you in an automated email after submitting this form (in exceptional cases the email might be forwarded with a delay). If you face any problems here please get in touch with us - contact@ramics.org.

At the end of the subscription period you will receive a reminder to renew your membership.

Basic membership details:

Title *

Your answer

Last Name *

Your answer

First Name(s)/Given Name(s) *

Your answer

Institution

Your answer

Contact Email *

Your answer

Billing address of member:

Street name and (house) number *

Your answer

City *

Your answer

Zip/Postal code *

Your answer

Country *

Your answer

Membership data: *

I agree to have my data stored internally at RAMICS AND displayed to other members of RAMICS.

I prefer to have my data stored ONLY for internal use within the RAMICS administration.

Membership options and fees:

Depending on you income, choose one of the following membership options for 2016/2017. Please remember the fee of your choice, payment information will be displayed in a PDF that you will receive by email after submitting this form.

To apply for an institutional membership, please email us directly at contact@ramics.org

Individual membership options and fees: *

15€ (annual income < 10.000€): "Special membership 2016/2017"

30€ (annual income >10.000€): "Reduced membership 2016/2017"

60€ (annual income > 20.000€) : "Full membership 2016/2017"

any amount over 60€: "Supporting member 2016/2017"

Required

Submit

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service

Forms