ENSE Membership Application
Name of Institution *
Your answer
Address of Institution *
Your answer
City of Institution *
Your answer
Postal Code of Institution *
Your answer
Contact Person Name *
Your answer
Contact Person E-Mail *
Your answer
Contact Person Phone Number *
Your answer
Membership Type *
Once you have received written confirmation of your membership, 200.00 Euros are to be transferred from your institution to the following bank account:

Erste Bank der oesterreichischen Sparkassen AG
IBAN: AT08 2011 1212 8114 7501
Account Number: 212-811-475/01 EUR
Bank Code: 20111

By clicking "Yes" below, you agree to complete this transfer within 20 business days.

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