To join EAERE for calendar year 2019, please complete this section with care. The information provided will allow us to correspond with you efficiently.

EAERE Institutional Membership form

Country

 

CONTACT PERSON

Title

Gender


(country code) (city code) (Number) (Extension)


(country code) (city code) (Number) (Extension)

 

EAERE INSTITUTIONAL MEMBERSHIP

UNIVERSITY INSTITUTIONAL MEMBERSHIP
(Only universities, university departments and university centres can apply for this membership category.)

INSTITUTIONAL MEMBERSHIP

 

BENEFITS

Please provide here below the information we need to activate the benefits deriving from your membership.
We will contact directly the person you indicate.
You can provide us with these information at a later time by e-mail to eaere@eaere.org.

 

Complimentary individual membership year 2019

 

Complimentary registration to EAERE2019

Just for the Full Istitutional memebership

Upload you Institution’s logo (.jpg or .png)

 

PRIVACY PROTECTION, EAERE STATUTES AND MEMBERSHIP DIRECTORY

Having read the privacy policy (https://www.eaere.org/content/legal-notes) of this website:

With regards to the processing of my personal data for the operations necessary to enable the management of my membership with EAERE and related formalities
I consentI do not consent
I am aware that, without my consent, EAERE cannot process my membership application and related formalities.

I accept the EAERE Statutes
YesNo