Portalul organizatiilor neguvernamentale din Romania

PORTALUL ORGANIZATIILOR NEGUVERNAMENTALE DIN ROMANIA

   
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Individual Membership Form

Use this electronic form to join the Romanian Telework Society as an Individual Member, to renew your existing Individual Membership, update your existing Individual Membership Profile, or sponsor members in developing countries through the E-Membership Program. Alternatively, you can print out an individual application.

List of Membership Levels and cost in US dollars.

 

Individual Membership Form

What would you like to do?
Join Renew Update Sponsor

Membership Profile
Prefix, First Name, Middle Initial
Family Name, Suffix
Title that best describes your position
Organization/Institution
Type that best describes your organization
Mailing/Street Address
City
State/Province
Zip/Postal Code
Country
Work Telephone Number (Include country code)
Home Telephone Number (Include country code)
Fax Number (Include country code)
Email address (List only one)

Chapter Affiliation

Please write bellow the SRT Branch you are interested in joining below: (Please note that some branches may require additional fees for membership.)

Is the Branch you are interested in joining not listed? Please indicate the Branch name here:

Billing Address

Do you have a separate billing address?

No Yes

Mailing List Policy

Which mailings do you wish to receive?
All official member mailings (postal and email)
Email member mailings only
None
Postal member mailings only

Membership Level
  Student US$ 25 Annually
  Individual US$ 35 Annually
  Contributor US$ 75 Annually
  Supporter US$ 125 Annually
  Benefactor US$ 250 Annually
  Patron US$ 500 Annually

E-Member Sponsorship Program

  I wish to sponsor two E-Members from developing countries (US$10).

Payment Method

I will be paying by
Check
Bank/Wire Transfer

Thank you for applying online! You will receive a confirmation from the Membership Department when your submission has been processed.

PORTALUL ORGANIZATIILOR NEGUVERNAMENTALE DIN ROMANIA