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Pay upon completion of the form
Registration Form Institutional Member - Pay Upon Completion of the Form
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 be redirected to the payment environment.
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 REFORCĀ“s website with their logo, name, postal address and web address.
Upload your logo
*
Accepted file types: jpg, png, Max. file size: 64 MB.
MESSAGE
Message
CONSENT
Consent
*
I agree to my data being collected, stored, and used in the framework of REFORC.
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