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Membership

To become a Member of IBRG fill out the form opposite and either send the form electronically or print this page. This printed document may then be faxed or sent by post.

 

Membership Rates 2001
(Currency expressed in Euros)

25
300
75
100

Place your cursor over the Membership category for more information.

Your details
Personal
ID:
Title:
First name: *
Last name: *
Job title:
 
Address
Company name:
(if applicable)
Address:
Country:
Post code:
 
Contact
Email: *
Telephone:
Fax:
Mobile:
 
Working Groups
Group selector: Plastic
  Polymer Dispersion
  Functional Fluids
  Paint
  Leather
 
Membership Level
Correspondence:
Company:
Academic:
Individual:
Please note after clicking Send we will raise an invoice and send you your password.
 
 
Notes about the form

The fields marked with a red asterix * are mandatory and represent the minimum detail we require at this time. To complete your membership we will require more information from you, therefore please fill in the form as completely as you can.

We will then issue you with a username and password that will grant access to the Members Only section of your selected groups.

Thank you.

 

Specifics

ID

Internal use only, please ignore

Title:

Dr, Mr, Mrs etc.

Address:

fields are for correspondence

Groups:

Select one or more interest groups