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Register as AESIS+ Institutional member

Registration form

You are about to register as an AESIS+ Institutional member.

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Contact details

Organisation*

Address*

Postal code*

City*

Country*

Contact person*

Email address*

Phone number*

Organisation details

No. of employees (estimate)*

Type of organisation*

Please describe your organisation

Invoice details

Invoicing contact*

Department*

Address*

Postal code*

City*

Country*

Email address*

Numbers/codes that should be mentioned on the invoice

List of employees

Please list a maximum of 10 employees who will be benefitting from the AESIS+ membership (any changes, additions or subtractions can be communicated via email)

Employee 1

First name

Last name

Email address

Employee 2

First name

Last name

Email address

Employee 3

First name

Last name

Email address

Employee 4

First name

Last name

Email address

Employee 5

First name

Last name

Email address

Employee 6

First name

Last name

Email address

Employee 7

First name

Last name

Email address

Employee 8

First name

Last name

Email address

Employee 9

First name

Last name

Email address

Employee 10

First name

Last name

Email address

My organisation is located in a country that belongs to the UN’s list of Least Developed Countries (LDCs), thereby qualifying for a discount for the first year of AESIS+ membership, making the total fee ~~€ 950,-~~ € 300,-.

After submitting this form you will receive an invoice within two weeks. After payment, the AESIS+ membership commences directly on the abovementioned starting date. Cancellation of the membership is possible up to two weeks in advance of the abovementioned ending date in writing.

Register as AESIS+ Institutional member

Registration form

Contact details

Organisation details

Invoice details

List of employees

Site

Address

Contact