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How to join IFLA as
an Institutional Member

French translation

Application Form

Please check HERE to determine the correct category for your membership

Note: This form cannot be sent over the Internet. It should be filled out, printed, and then sent by mail or fax to the address below.

1. Complete the application form:

Institutional Membership fee: EUR
[Please consult the Country List for details.]

Fees for Institutions are divided into three categories, based on the country in which the Institution is situated. The categories are determined using the UNESCO Scale of Assessment and the United Nations list of Least Developed Countries.

Name of Institution:

Postal Address:

City:

Province/State:

Country:

Postal Code:

Phone:

Fax:

E-mail:

Web Site:

Name of Contact Person: Mr/Ms

Name of Highest Official: Mr/Ms

Position title:

2. Complete the Section Registration form:

Institutions may register free for 2 Sections. You may register for additional Sections for a charge of EUR 50 each per year.

3. Transfer the appropriate membership fee to IFLA Headquarters

Select a method of payment:
Please send me a pro forma invoice
Payment enclosed (cheque, postal order, UNESCO coupons)
Cheques should be made payable to IFLA HQ
Bank transfer
Please make to ABN-AMRO bank NV, The Hague, Netherlands
Account No: 51.36.38.911
IBAN: NL23ABNA0513638911, BIC: ABNANL2A
Post Office payment
Please make to Giro Account No 351460, The Hague, Netherlands
IBAN: NL97PSTB0000351460, BIC: PSTBNL21
Credit Card:

VISA, MasterCard/Euro Card, American Express

Charge to the value of: EUR

Card Number:

CVC II/Security Code: (See back of your credit card, the last three digits)

Expiration Date (mm/yyyy):

Card is in the name of:

4. Please sign and date this form


Signature :____________________ Date:____________

5. Send this form, along with the Section registration form, by mail or fax to:

IFLA Headquarters
c/o Membership Manager
P.O. Box 95312
2509 CH The Hague, Netherlands
Fax: +31-70-3834827
[E-mail: membership@ifla.org]