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)

 

Make payments with PayPal - it's fast, free and secure!

 

1 Year: US$ 300.00 (through 12/31/2008)

 

Make payments with PayPal - it's fast, free and secure!

 

 

2 Year: US$   90.00 (through 12/31/2009)

 

Make payments with PayPal - it's fast, free and secure!

 

2 Year: US$ 500.00 (through 12/31/2009)

 

Make payments with PayPal - it's fast, free and secure!

 

 

3 Year: US$ 130.00 (through 12/31/2010)

 

Make payments with PayPal - it's fast, free and secure!

 

3 Year: US$ 700.00 (through 12/31/2010)

 

Make payments with PayPal - it's fast, free and secure!

 

 

Individual Life
Membership:  US$ 400.00

 

Make payments with PayPal - it's fast, free and secure!

 

 

 

 

 

 






ICET Membership Registration Form: Copyright © 2007 ICET. All rights reserved.
Revised: 02/12/08




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