Membership Application/ Renewal_ Bank transfer

Find below the online application form to become member in 2016 do not forget to mention ‘Membership 2016 + Your Full Name’ in the subject line of your bank transfer!

Account: European Forum for Restorative Justice
IBAN: BE35 4310 7636 5137
BIC: KREDBEBB

Please remember that your membership will be finalised once we receive the due amount for your membership fee in our bank account.

Membership Application / Renewal form_BANK Transfer

Membership application / renewal form for the annual membership of the European Forum for Restorative Justice

Contact details
Please mention the information that the European Forum for Restorative Justice can include in the Membership Directory that is available for members only.
Title*
Name*
First Last
Organisation / Affiliation
Website
Job position / Profession
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
I want to subscribe as*

Student (€ 25,00)

Individual (€ 45,00)

Local organisation (€ 135,00)

Non-governmental organisation (NGO) (€ 195,00)

Governmental organisation (€ 675,00)
Name of the organisation
Contact person for the organisation
Contact email address
Membership

Full (with voting rights)

Associate (no voting rights)
Terms and Conditions*
I hereby agree with the general aim of the European Forum for Restorative Justice. I authorise the EFRJ to display my personal/ organisational contact details in the membership directory available to members only.
Payment*
I hereby confirm that I will pay the due amount for my membership with a bank transfer

Membership Application/ Renewal_ Bank transfer

Membership Application / Renewal form_BANK Transfer

Contact details