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Application for Organizational Membership

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This form allows you simply and easily to apply for Romanian Telework Society membership. Please note that this page only works if your browser supports forms.

To review membership levels and benefits.

If you cannot or do not want to use this online form, you may alternatively complete it and send yourself by fax to our Drobeta Turnu Severin (+40 52 341 062) office, or email (org-membership@teleactivities.org ).

Please establish my organization as a member of the Romanian Telework Society. In addition to contributing significantly to the evolution of the Information Society and its use, membership entitles my organization to representation on the Society's Advisory Council, significant joint promotional opportunities, reduced rates for Society conferences, complimentary SRT individual memberships, and other benefits of special interest to organizational members. Membership will extend for 12 months from the month of receipt of payment.

I am applying for:

Sustaining-Gold membership, for-profit organization at $8,000 annually

Sustaining-Gold membership, non-profit organization at $6,000 annually

Silver membership, for-profit organization at $4,000 annually

Silver membership, non-profit organization at $2,000 annually

Executive membership, for-profit organization at $1,000 annually

Executive membership, non-profit organizations at $500 annually

Principal membership, for-profit organization at $500 annually

Principal membership, non-profit organization at $250 annually

Professional membership, for-profit organization at $250 annually

Professional membership, non-profit organization at $125 annually

Start-up membership, for-profit or non-profit organization during the first three years of operation at $100 annually.
Startup year:

Please send me additional information on the Information Society

What is your organization:
Person primarily responsible:
Family Name:
Given Name(s) :
What is your title:
What is your address:
City:
State or Province:
Postal Code:
Country:
E-Mail address:
Telephone Number:
Fax Number:

Payment

All payments must be in Romanian lei, European Euros, or United States dollars. Payment of annual dues may be made by check, money order, credit card or wire transfer.

Please indicate the payment you wish to make (in US $):

5,000 2,500 1,000 500 250 125 100

How would you like to pay?

1. Bank Transfer

2. Check or Money Order

3. Bill me at my address given above.

To submit your application and pay as indicated

Push the following to automatically email to (org-membership@teleactivities.org) :

Thank you!

org-membership@teleactivities.org