Membership
application
Read the EDAA Charter to see who may
apply. Fill in the form below and send it with the "Mail" button below.
References
(for new members only!):
- You are
eligible for EDAA membership only if you have been a paying attendee at
DATE
or if you provide the name of a current member of EDAA for reference
purposes. Please indicate at least one of the conditions that you meet:
- I have been a
paying attendee at DATE (specify year):
- The following
current EDAA member can be contacted for reference purposes (specify
name):
- Personal Data:
Your surname
-
- Your first name
-
- Unique ID
(required by Belgian Law)
-
Address:
Affiliation -
- Department
-
- Building
-
- Address
-
- Postal code
-
- City
-
- District
-
- Country
-
- Tel.:
-
- Fax:
-
- Your email
address
- What do you
expect from EDAA?
- Verification
-
For added security, please enter the verification code hidden in the image :
Form may be
faxed to +49 631 2 05 44 37
, attn. Norbert Wehn
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