IJA-Forum Registration Form

Please enter information.

Please complete this registration form if you want to become a Private Member of IJA-Forum or if your organisation considers becoming an Institutional Member. Concerning the Private Membership: a welcome letter will be sent to you with an invoice. The membership will be continued automatically for the next calendar year, unless written notice is given at least one month preceding the new calendar year.

Family Name (Required)

Title

First Name (Required)

Organisation

Position

Country (Required)

E-Mail Address (Required)

Telephone

Fax

ADDRESS

Street

City

Code

Remarks

Concerning the Private Membership: a welcome letter will be sent to you with an invoice. The membership will be continued automatically for the next calendar year, unless written notice is given at least one month preceding the new calendar year.