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.
or scan and e-mail to


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.

I agree that my personal information given below is stored by ISCOWA for use of the Society's purposes, and that my name, affiliation and country will be mentioned in ISCOWA’s members list.

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)..
Special offer: if you choose to pay the membership fee for 2018, 2019 and 2020 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. UKŁ 40 / US$ 60 ) for 2018 as follows:
[  ]Yes, as new member, please send me the ISCOWA/Wascon 2009 CD-rom, the ISCOWA/Wascon2012 USB stick AND the ISCOWA/Wascon2015 USB stick for only EUR 90. (please check box)

I will transfer € 50.-- (or € 135 for 3 years) to 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.