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You may also download our membership registration form as a PDF here.

Title*
First name*

Surname*
Address*
City*
Post code*
Tel. no*
Fax. no
Mobile no
Email*

The annual subscription is € 35 (reduced rate for students: € 15, rate for schools and institutions: €100). Membership runs for the calendar year. Membership applications received mid-year are considered to be for the current calendar year. Applications received after October 1 are considered to be for the following calendar year.

Individual membership: € 35

Student membership: € 15

School/institutional membership: € 100
 

School/Institution name:

I wish to pay the subscription fee by (please fill out preferred method of payment)*:

bank transfer into the association's account:
Deutsche Bank
Account no. 7337017
BLZ 700 700 24
direct debit (Einzugsermächtigung) by filling out the form below:

Hiermit ermächtige(n) ich/wir Sie widerruflich, den Jahresbeitrag bei Fälligkeit zu Lasten meines/unseres hierunter angegebenen Kontos durch Lastschrift einzuziehen.

Konto-Nr

Bankleitzahl

Geldinstitut

 

Wenn das angegebene Konto die erforderliche Deckung nicht aufweist, besteht seitens des kontoführenden Geldinstituts keine Verpflichtung zur Einlösung.

Membership lists*:
Select the box that is applicable:

I wish to have my name, address and tel/fax no. & e-mail address on a list circulated ONLY among other MELTA members and agree not to pass this list on to third parties
I allow MELTA to supply my name and address to sponsors
Do not share my contact details with anyone

*form fields with an asterisk must be filled out.

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