2022
ICKL MEMBERSHIP & CONFERENCE REGISTRATION
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Payment in US Check (US dollars)

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	50 US Dollars

	O	Membership 2022 - Student fee 1 Year	35 US Dollars
		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 	290 US Dollars

O	Student (please enclose a copy of your current student ID)	210 US Dollars

GRAND TOTAL (including Membership)	……. US Dollars

PAYMENT 

O	I include a check (check cashable on US banks only) payable to ICKL.	

Form to return to Treasurer US
	Mara FRAZIER, 
	119F Thompson Library, 1858 Neil Avenue, Columbus, OH 43210, USA
	Email: treasurer-us@ickl.org