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Membership registration form

With this form you can apply for IGL membership application. Fill out this form and submit the data electronically.
The fields with a leading * are mandatory.

Herewith, I register myself to the membership to the Internationalen Gemeinschaft für Labyrinthfische (IGL) as
Address
Akad. title
First Name *
Last name *
Birth Date  (Entry format: DD/MM/YYYY) *
Street *
Postal Code *
Place *
Country *
Phone (Priv.)
Phone (Buss.)
Phone (Mobile)
Fax
Profession
Email *
Accession Date (Entry format: DD/MM/YYYY) *
Membership Fees
Single member: 35 €
Family membership: 41 €
Adolescent/Student: 18 €
One time admission fee: 6 €
this does not apply to adolescents and students. The formal acceptance of takes right place after the admission fees and the 1st year membership fees had been received.

With the admission the new member agrees to the association's general regulations. Every applicant agrees to the storage of his member data by the association through the submittance of the membership application data. The association itself states in return it uses the membership data strictly for association's purposes. They will not get handed over to any 3rd party.

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