Registration Form Individual Member

Name*

First Middle Last

Email*

REGISTRATION

Your registration will become effective on receipt of your payment. After submitting this form, you will be redirected to the payment environment.

I herewith register as an individual member*

Yes

I register for a membership for the duration of*

One year
Three years

I subscribe to the Journal of Early Modern Christianity*

and opt for the printed edition
and opt for the online edition

My type of individual membership:*

Regular
Reduced
Student
Emeritus

Reduced fee is optional for members with a net-annual income below € 20.000,00.

Membership Fee (one year, printed edition JEMC, Regular)

Price:

Membership Fee (one year, online edition JEMC, Regular)

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Membership Fee (one year, printed edition JEMC, Reduced)

Price:

Membership Fee (one year, online edition JEMC, Reduced)

Price:

Membership Fee (one year, printed edition JEMC, Student)

Price:

Membership Fee (one year, online edition JEMC, Student)

Price:

Membership Fee (one year, printed edition JEMC, Emeritus)

Price:

Membership Fee (one year, online edition JEMC, Emeritus)

Price:

Membership Fee (three years, printed edition JEMC, Regular)

Price:

Membership Fee (three years, online edition JEMC, Regular)

Price:

Membership Fee (three years, printed edition JEMC, Reduced)

Price:

Membership Fee (three years, online edition JEMC, Reduced)

Price:

Membership Fee (three years, printed edition JEMC, Student)

Price:

Membership Fee (three years, online edition JEMC, Student)

Price:

Membership Fee (three years, printed edition JEMC, Emeritus)

Price:

Membership Fee (three years, online edition JEMC, Emeritus)

Price:

Address

If you have opted for a JEMC, place indicate here your postal address.

Street Address

If you have opted for a printed JEMC, please indicate here your postal address.

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YOUR PRESENCE ON THE REFORC WEBSITE

You can present yourself on our website with your name, a portrait image, an e-mail address, a web addres and three tags consisting of each three words related to your field of research.

I want to present myself on the REFORC website with my name.*

Yes
No

I want to present myself on the REFORC website with my portrait photo.*

Yes
No

Upload a portrait photo

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I want to present my e-mail address on the REFORC website:*

Yes
No

I want to present my webpage/website on the REFORC website with my web address, which I indicate below:

I want to present myself on the REFORC website mentioning three tags of each max. three words, indicating your field of research. Tags will be added to my profile on the REFORC website.

For example: Reformation History / Council of Trent / Early Modern Art

MESSAGE

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CONSENT

Consent*

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

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Registration Form Individual Member