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Membership Application Form
Only for new members or address changes!!!


Yes I want to be a member of the Belgian Mathematical Society.

Name :

First name :

Address :

Postcode :   City :   Country :  

E-mail:

Occupation:

Place of Work:

Please tick the appropriate lines:

I want to be an ordinary member of the BMS (EUR 20).
I apply for a BMS reciprocity membership (EUR 18); I am a member of the
In addition to my BMS membership, I want to be a member of the EMS (add EUR 23)
As a member of the BMS, I apply for a SMF reciprocity membership (add EUR 36)
As a member of the BMS, I apply for a RSME reciprocity membership (add EUR 20)
I agree that the Newsletter BMS-NCM News be sent to me by e-mail (as an attached .pdf file)
I agree that my home address and e-mail address are made public by the BMS.
I shall pay my dues on account number 000-0641030-54 of the BMS
I shall pay my dues on account number IBAN: BE 42 0000 6410 3054 / BIC : BPOTBEB1 of the BMS (members living within the EURO zone).
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Maintained by Philippe Cara, last modified: January 11, 2012 00:07:13.