ICET Membership Registration

NAME (Please list your names as you would expect to see them appear in an alphabetical listing/ directory/ bibliography in your country. Thank you!)

Last Name(s)/Surname(s)

First Name(s)

Preferred Salutation (Mr./Mrs./Dr./Etc.>

Institution/Organization

Email address #1
Email address #2

I prefer to receive correspondence at my:

Work address

Home address

WORK ADDRESS (Please indicate your address as you would write it on an envelope in your country.)

Institution/Organization
Department (if applicable)
Street Address #1
Street Address #2
City, State/Prov., Postal Code
COUNTRY

Work phone #

Work fax #

HOME ADDRESS (Please indicate your address as you would write it on an envelope in your country.)

Street Address #1
Street Address #2
City, State/Prov., Postal Code
COUNTRY

Home phone #

Mobile phone #

Membership Options

ICET is now using PayPal's services to process payments. You are not required to have a "PayPal account" to use PayPal's service; you may simply use one of several credit cards of your choice, or you may arrange a bank transfer. (PayPal accepts the following types of credit cards: Visa, MasterCard, AmericanExpress, and Discover.)

Please select one of the following membership options (click on the round button to the left of the description); then click on PayPal's "BUY NOW" button to the right of that option.

Individual Membership

Membership for
Institutions / Associations /
Ministries of Education

		1 Year: US$ 50.00 (through 12/31/2008)					1 Year: US$ 300.00 (through 12/31/2008)
		2 Year: US$ 90.00 (through 12/31/2009)					2 Year: US$ 500.00 (through 12/31/2009)
		3 Year: US$ 130.00 (through 12/31/2010)					3 Year: US$ 700.00 (through 12/31/2010)
		Individual Life Membership: US$ 400.00

Top of Page