• 45 East Deloney Avenue PO Box 1552
  • (+061) 307-733-3005

Rue du Commerce 96, C-Block 6th Floor, 1040 Brussels, Belgium.

+ 32 2 897 49 83

MEMBERSHIP FORM

MEMBERSHIP FORM

To become an EGPA Member, please complete the form

I would like to become a member of EGPA and settle the annual subscription fee amounting to

375 € as Corporate Member
100 € as Individual Member

EGPA Contact Person/Personne de Contact:

Dr Fabienne Maron
IIAS Scientific Director/Directeur scientifique IISA
96 rue du Commerce - B-1040 Brussels – Belgium
Tel + 32 2 897 49 83 Fax: 32-2-537 97 02 - e-mail: f.maron@iias-iisa.org
IIAS Secretariat – Contact Person : Lucia Martinez e-mail: l.martinez@iias.org

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