2023
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	Membership 2023 - Regular fee 1 Year	45 Euros

	O	Membership 2023 - 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 2023. 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