CHER - Membership Payment

Name(*)

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Institution(*)

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Address(*)

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Email Address(*)

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Invoice Number(*)

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Debitor's Number(*)

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Membership(*)

1 year Regular Membership - 75,00 € 1 year Student Membership - 55,00 € 3 year Regular Membership - 180,00 € 3 year Student Membership - 120,00 € Please select your desired membership

Payment

Collecting Charges(*)

payment by PayPal and Bank Transfer - 5,00 € payment by Cheque - 10,00 € Please select your collecting charge

*Amount

0,00 €

*total amount including collecting charges

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Payment form for CHER membership