How to join IFLA as a Personal, Non-salaried, Student Affiliate or New Graduate

JOIN IFLA ... as an Individual

APPLICATION FORM

Please check HERE to determine the correct category for your membership

Note:This form must be filled out, printed and then sent by post, FAX or email to the address at the bottom of the page.

Please choose one:

 Personal Affiliate: Membership fee EUR 146
 Non-salaried: Membership fee EUR 63*

 Student Affiliate: Membership fee EUR 63

 New Graduate: Membership fee EUR 63

 Adopt a Student! program: Membership fee EUR 63
     Sponsor Name:
      

1. Complete the application form:

Last Name Mr/Ms:

First Name(s):

Students
Please: please indicate the name of your institution: 

Postal Address  Work  Home

City:

Province/State:

Country:

Postal Code:

Phone:

Fax: 

E-mail: 

	Proof of diploma is attached (for New Graduates)
	A copy of my valid student card is attached (for students)
	*I agree to inform IFLA as soon as status changes (for non-salaried)

2. Complete the Section Registration form:

• Section Registration form

Affiliates may register free for 1 Section. You may register for additional Sections for a charge of EUR 57 each per year.

3. Complete the IFLA Data Protection form:

• Data Protection form [DOC] | [PDF]

4. Transfer the appropriate membership fee to IFLA Headquarters

Select a method of payment:

	Payment enclosed (postal order, UNESCO coupons) make payable to IFLA HQ
	Bank transfer Please make to: Deutsche Bank The Hague, Netherlands Account No: 51.36.38.911 IBAN: NL62DEUT0513638911, BIC: DEUTNL2N

Credit Card:

 VISA  MasterCard/Euro Card 

Charge to the value of:  EUR

Card Number: 

CVC II/Security Code: 
(See back of your credit card, the last three digits)

Expiration Date (mm/yyyy): 

Card is in the name of:

5. Please sign and date this form

Signature :____________________ Date:____________

6. Send this form, along with the Section registration form and the Data Protection form by mail, FAX, or email to:

IFLA Headquarters

c/o Membership Officer
P.O. Box 95312
2509 CH The Hague, Netherlands

Fax: +31-70-3834827
membership@ifla.org


CLICK HERE to join

http://archive.ifla.org/III/members/form3.htm

http://www.ifla.org/membership/new-members