To become a member of ISCOWA, please print out and complete the following form, and return to:

ISCOWA
Tempelierhof 5
3544 NA Utrecht
The Netherlands.


REGISTRATION FORM
ISCOWA logo

I herewith declare to want to become a member of ISCOWA,

The International Society for the Environmental and Technical Implications of Construction with Alternative Materials, and to observe its Statutes.

Name:


Affiliation:


Full Address:


Telephone:

Telefax:

E-mail:


Signed at (place):

Date:

Signature:


Yearly contribution fee: € 50, to be deposited on ISCOWA's bank account nr. (IBAN).see below.
Special offer: if you choose to pay the membership fee for 2016, 2017 and 2018 simultaneously you will get a discount of 10%. Please pay € 135 if you want to use this possibility.


PAYMENT OF MEMBERSHIP FEE

I will pay my membership fee of EUR 50.- (= ca. UKú 40 / US$ 60 ) for 2016 as follows:
[  ]Yes, as new member, please send me the ISCOWA/Wascon 2009 CD-rom AND the ISCOWA/Wascon2012 USB stick for only EUR 90. (please check box)

I will deposit € 50.-- (or € 135 for 3 years) into ISCOWA's International Bank Account Number (IBAN): we will send you an invoice with our bankaccountnr. after reception of this form.

We are sorry that it is no longer possible to pay via credit card.