INES Membership Application

On-line membership forms are not yet working. An individual or organization can become a member by printing out one of the application forms below and sending it to: INES Office, Post Box 101707, 44017 Dortmund, Germany

Individual Application Form

Organizational Application Form

INDIVIDUAL APPLICATION FORM

I want to become a member of INES

Family name:

First name:

Occcupation:

Address:

Phone:

Fax:

E-Mail:

Areas of interest related to the aims of INES:

I am interested in the following INES projects:

I offer the following annual membership contribution (suggested 0.1 to 0.2 % of annual net income)

• currency type:
• amount:

The currency is:

• convertible
• non-convertible

• In a country with convertible currency
  • I will transfer my annual contribution
  • Alternatively, I agree that INES will charge my credit card:
    • Card Type:
    • Card No.:
• In a country with non-convertible currency
  • I will transfer my contribution at a later date, when a Network account has been announced in my country.

Date:

Signature:

ORGANIZATIONAL APPLICATION FORM

Our organization wants to become a member of the International Network of Engineers and Scientists for Global Responsibility.

Name of the organization: _________________________________________________________________

Address: ______________________________________________________________________________

______________________________________________________________________________________

Phone: ______________________________________ Fax: ______________________________________

Telex: _______________________________________ E-Mail: ____________________________________

Web Address: ____________________________________________________________________________

Please give a description of your organization (goals, objectives, type of organization, date of establishment, number of members, interests, etc.):

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Please enclose a copy of your founding charter, by-laws and other basic documents plus a typical newsletter or other periodic report.

The Network is requesting all member organizations to contribute "whatever they can pay." Up to now, smaller organizations have been paying, typically, between $100 and $300 per year and larger ones between $3000 and $5000 per year.

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