European Royal Society

ERS Membership Application

To apply for membership please complete all questions.
Type of Application: *

Personal Nomination
Enter your name & email. Fill the rest of the form with information on the person you are nominating:
Name: *

Prefix First Name Last Name

Home Address: *

Work Address:

E-mail: *
Website:
Home Number:

- Country Code - Area Code Phone Number
Mobile Number:

- Country Code - Area Code Phone Number
Work Number:

- Country Code - Country Code Phone Number
Birthdate:

Month Day Year
CV (in PDF or Word format): *
Enter the text as shown: *
Signature *
Date *
Comments:
Membership Types: *

1 Year Individual Full Membership (by invitation only) € 950.00 EUR

1 Year Individual Associate Membership € 950.00 EUR

1 year Individual Student Membership € 95.00 EUR

1 Year Institutional Full Membership € 2,450.00 EUR
For more info on ERS membership and subscriptions, write to:ERS Publishing, Suite #3083, 3840 West Hillsboro Blvd, Deerfield Beach FL 33442, USA. office@theroyalsociety.eu, www.theroyalsociety.eu
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ERS Membership Application