| *Registration: |
Students must send status proof and Institutions must send an official letter of endorsement of its representative, by fax to the IAOA secretary at +39 0461 314 875 |
| Donation: |
You are free to fill in this field as you please, in € |
| *Receipt: |
Yes -
No
If checked you will receive a PDF receipt at the specified email address, as soon as your payment is cleared and your membership approved
|
|
| *First name : |
name of representative for institutions |
| Middle name: |
|
| *Last name: |
|
| *Place (City, State/Province, Country) of birth: |
|
| *Date of birth: |
day:
/
month:
/
year:
Please note that the above are required for legal identification purposes |
| **Affiliation: |
|
| *Address (Street, etc.): |
|
| *City: |
|
| State/Province: |
|
| *ZIP/Postal Code: |
|
| *Country: |
|
| *email: |
This will be your login name (password will be automatically generated and sent to you by e-mail)
|
| Note: |
For any further information you would like to communicate to us regarding the above |
Member survey We appreciate your input, so we can fine tune the IAOA activities for our members
|
| Provide a brief description of your background (Professional profile): |
|
| List your areas of interest (disciplines and/or research areas, separated by semicolon): |
|
| If you have a personal or institutional home page available online, kindly provide us with a link to its URL: |
|
| Describe what you hope to gain from participation in IAOA in terms of your personal goals and objectives: |
|
| List any suggestions that you have for future IAOA activities: |
|
| Please specify any ways in which you would be willing to contribute actively to the life of the association: |
|
|
| Total due: |
|
| *Selected form of Payment: |
If in doubt, please note that we recommend Bank Transfers for Euro zone payments, and on-line Credit Cards in general.
PayPal is provided only for your convenience, but is inconvenient for us.
For Bank Transfers, which need to be made free of charge to us, information will be provided on request made to treasurer < at > iaoa.org.
Cash payments are for special case only, please do not select this option if not invited to do so. |
*
I authorize the use of my personal data by IAOA in accordance with the Italian law D. Lgs. n. 196 of 30 June 2003
(Italiano,
English)
|
I hereby apply to join IAOA as a member, and if accepted, I agree to abide by IAOA's by-laws and membership policy
|