Institutional membership application

Membership fees

MEMBERSHIP APPLICATION – RENEWAL

Rates:   Regular 250 €            Benefactor 500 €       Benefactor 1000 €     Benefactor ____€

 

In addition to payment by cheque or bank transfer, we also now accept online payment by credit card via the following link: https://www.helloasso.com/associations/gem-l/adhesions/adhesion-au-gem-l

 

    Institutional Registration form

    First name

    Last name

    Your Email

    Your phone number

    Your institution

    Institution:

    Function:

    Department:

    Address:

    Country:

    City:

    Discipline


    Areas of interest


    I would like to be listed on the GEM&L site

    YesNo

    Your payment

    Payment by check to the GEM&L or by bank transfer

    Please send your check to Philippe Lecomte, GEM&L, 30 avenue des Minimes, 31200 Toulouse

    A receipt will be provided upon request.

    Payment by credit card

    An invoice will be automatically delivered

    I will pay by:
    Bank transferCredit CardCheck to GEM&L

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