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How to join IFLA as
an Association Member

French translation

Application Form

Note: This form cannot be sent over the Internet. It should be filled out, printed, and then sent by mail or fax to the address below.

1. Complete the application form:

Please check HERE to determine the correct category for your membership

Indicate the Membership category that you wish to join:
National Association membership
[Fee varies by country, please contact the Membership Manager at IFLA Headquarters for details.]
International Association membership
[Fee varies according to country of residence of the majority of the association members, please contact the Membership Manager at IFLA Headquarters for details.]
Other Association membership
[Fee based on the country in which the association is located.
Please consult the Country List for details.]

Name of Association:

Postal Address:

City:

Province/State:

Country:

Postal Code:

Phone:

Fax:

E-mail:

Web Site:

Name of Contact Person: Mr/Ms

Name of Highest Official: Mr/Ms

Position title:

2. Complete the Section Registration form:

3. Transfer the appropriate membership fee to IFLA Headquarters

Select a method of payment:
Please send me a pro forma invoice
Payment enclosed (cheque, postal order, UNESCO coupons)
Cheques should be made payable to IFLA HQ
Bank transfer
Please make to ABN-AMRO bank NV, The Hague, Netherlands
Account No: 51.36.38.911
IBAN: NL23ABNA0513638911, BIC: ABNANL2A
Post Office payment
Please make to Giro Account No 351460, The Hague, Netherlands
IBAN: NL97PSTB0000351460, BIC: PSTBNL21
Credit Card:
VISA, MasterCard/Euro Card, American Express

Charge to the value of: EUR

Card Number:

CVC II/Security Code:
(See back of your credit card, the last three digits)

Expiration Date (mm/yyyy):

Card is in the name of:

4. Please sign and date this form

Signature :____________________ Date:____________

5. Send this form, along with the Section registration form, by mail or fax to:

IFLA Headquarters
c/o Membership Officer
P.O. Box 95312
2509 CH The Hague, Netherlands
Fax: +31-70-3834827
[E-mail: membership@ifla.org]