Application Form Societal Membership

SOCIETY

Name Society*

Website Society*

Please do not forget to add https:// to your web address.

Name Contact*

First Middle Last

Email contact*

Describe here how your society relates to research on Early Modern Christianity*

I herewith apply on behalf of my society for a free societal membership*

I apply for a membership for the duration of*

I agree to announce REFORC's Annual Conferences on Early Modern Christianity through the society's media channels.*

I agree to have the name and logo of the society presented on the REFORC website.*

Upload the societies logo

Accepted file types: png, jpg, Max. file size: 64 MB.

For example: Reformation History / Council of Trent / Early Modern Art. Please write the tags below each other, thank you.

You may add three tags of each max. three words, to be presented on REFORC's website.

For Example: Reformation History / Council of Trent / Early Modern Art. Please write the tags below each other.

Message

Consent*

I agree to my data being collected, stored, and used in the framework of REFORC.