Application Form for Membership

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I would like to be considered to become an Ordinary Member of the ESN (Annual fee: 25 Euro)

Title *

First and Middle name *

Surname *

Institution *

Department *

Street address

ZipCode

City

Country *

Phone *

Fax *

Email *

Applicants must enclose a short CV with a list of recent publications OR should be supported by the signature of one ESN Ordinary Member.

Allegate CV or Letter signed by the ESN Ordinary Member. (file doc or pdf)

Additional information