NVG membership registration form

Membership option: *

Regular membership (€30)

Student membership (€25)

Update of contact details

Last name *

First name *

Academic title

BSc

MSc

Dr

Prof

University/Institute

Department/Faculty

Address *

Postal code *

City *

Country *

Telephone *

E-mail *

Place me on the NVG mailing list *

Yes

No

Any other comments you wish to provide:

I have verified that all the above information is correct: *

Total amount:

* = Input is required

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BSc, MSc and PhD students receive a discount on membership (please select second option).
If you only wish to change your contact details, please tick the third option.