2022
ICKL MEMBERSHIP & CONFERENCE REGISTRATION
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Payment with PayPal (in Euros)

Please make sure you fill all the fields. We are regularly updating our membership database and we appreciate to have all members’data again.

Name	First Name	
Address	
City, Zip Code	Country	
E-Mail	Phone #	
Nationality	Year of Birth	
Profession/Affiliation	

Check as appropriate 

MEMBERSHIP

O	I already paid my membership in 2021 (hence I am entitled not to pay in 2022)

O	I did not pay my membership in 2021, or paid in 2021 but want to pay for 2022

	O	Membership 2022 - Regular fee 1 Year	45 Euros

	O	Membership 2022 - Student fee 1 Year	32 Euros
		Student - please enclose a copy of your current student ID

CONFERENCE REGISTRATION 

All participants and presenters must pay the applicable conference registration fee and membership fee for either 2021 or 2022. The conference registration fees include 6 lunches on site, a mid-conference cultural outing and a closing dinner.

O	Regular 	255 Euros

O	Student (please enclose a copy of your current student ID)	190 Euros

GRAND TOTAL (including Membership)	……. Euros

PAYMENT 

O	I have paid online with PayPal. Date of the transaction……	

Form to return to Treasurer-Europe: Béatrice Aubert, treasurer-europe@ickl.org