ESFR Registration and Feedback Form for Full Institutional Membership

My organization is interested in supporting the ESFR and becoming a full institutional member.
We will transfer our payment of 900 EURO for the first year and 600 EURO for the following
years to be transferred to the temporary bank account of the ESFR until one week after
registration:

ABN-AMRO Bank Nijmegen
Account Number: 54 11 01 935
Name of the holder: European Society on Family Relations
BIC Code: ABNANL2A IBAN: NL34ABNA0541101935

Institution/Organization/Firm*:
Representative*:Mr.Mrs.
Last Name*:
First Name*:
Affiliation of Representative:
Discipline /e.g., Psychology, Sociology, etc.):
Street*:
City*:
Postal code*:
Country*:
Phone:
Fax:
email:
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