Pay by invoice

Registration Form Institutional Member - Pay by invoice

Name Institution*
Street Address*
Address Line 2
ZIP/Postcal Code*
City*
State (in case of a federal republic like the US)
Country*
Website*
CONTACT
Name*
First Middle Last
Email*
REGISTRATION
Your registration will become effective on receipt of your payment. After submitting this form, you will receive an invoice for the membership fee.
I register my institution for an institutional membership*
- Yes
I register for a membership for the duration of*
- One year
- Three years
Type of Membership*
- Regular
- Reduced
Reduced fee is optional for institutions with limited resources.
Registration Fee (one year, printed edition JEMC, Regular)
Price:
Registration Fee (one year, printed edition JEMC, Reduced)
Price:
Registration Fee (three years, printed edition JEMC, Regular)
Price:
Registration Fee (three years, printed edition JEMC, Reduced)
Price:
Individual Memberships
Institutional membership includes up to four individual memberships of faculty or PhD students. You will be invited to submit relevant information via your member account.
WEBSITE PRESENCE
Institutional members will be presented on REFORC´s website with their logo, name, postal address and web address.
Upload your logo*
Accepted file types: jpg, png, Max. file size: 64 MB.
Invoice
Email
The invoice will be sent to the contact, as indicated above. If another person in the organization should receive the invoice, enter the email address here.
MESSAGE
Message
CONSENT
Consent*
I agree to my data being collected, stored, and used in the framework of REFORC.
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User type

Pay by invoice

Registration Form Institutional Member - Pay by invoice

CONTACT

REGISTRATION

Individual Memberships

WEBSITE PRESENCE

Invoice

MESSAGE

CONSENT

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