Membership Application

Membership

I wish to become a of the Society for Medicinal Plant and Natural Product Research (GA).
Please select membership *

Personal Data


Business Address

Home Address

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File upload (Student ID)

Student ID (Voluntary upload)

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Allowed file formats: Everything except for .php, .sql, .bat


Payment

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SEPA Direct Debit

Bank Transfer: Please wait for our confirmation mail with your member number.
Paypal: Please wait for our confirmation mail with your member number.
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Online subscription of Planta Medica

back to 1998 (60€)
back to 1953 (100€)

Privacy and declaration of consent

I confirm that I have truthfully filled in all of the above information and I give permission to carry out the SEPA debit for the selected contribution.