Institutional Member Form

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Dear soon-to-be Institutional Member, Thank you for taking action in becoming a new Institutional member of ATGENDER! We are thrilled to welcome you to our organization. Please fill in all fields of this registration form, and send it to info@atgender.eu as you’ve made your payment. You will receive a confirmation and member number within 48 hours. In case of any registering problems, be sure to contact us so we can be of assistance. Welcome to ATGENDER! Date:

Motivation for reduced membership rate:

Attach a separate document with details.

Membership Category: 1. Institutional Full (07/2011-12/2011)

€ 250,00

2. Institutional Reduced (07/2011-12/2011)

€ 125,00

3. Institutional Full (07/2011-12/2012)

€ 500,00

4. Institutional Reduced (07/2011-12/2012)

€ 250,00

5. Institutional Full (07/2011-12/2013)

€ 1000,00

6. Institutional Reduced (07/2011-12/2013)

€ 500,00

(institutional membership categories available from July 2011)

Organization: First name: Last name: Street and number: Postal code: City: Province/State: Country: Email address: Phone number: Fax number:

MEMBER BENEFITS Institutional members are entitled to: - Three votes at the ATGENDER Annual General Meeting; - Application to host the European Feminist Research Conference - Three reduced registration fees for the 8th European Feminist Research Conference (Budapest, 2012); - One reduced subscription rate to the partner academic journals; - Regular information about the association's activities through the ATGENDER member newsletter - Advertisement of programmes, summer schools, activities on the ATGENDER website. 10 members proposed for reduced membership fee (option 5 & 6): 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Signature Date and Place

Comments:

ATGENDER Bank Details: ING Bank P.O. 1800 1000 BV Amsterdam The Netherlands Account number: 5824181 IBAN: NL76INGB0005824181 BIC: INGBNL2A


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