I am a full time communication professional in a company (operating in at least three European countries), a European association, a European political institution or another organisation active on a European level (140 euros annual fee). *

I do not belong to the above mentioned groups but wish to support the EACD idea as a Supporting Member (280 euros annual fee). *

Surname:

First name:

Date of birth:

Nationality:

Employer:

Position:

Work address

Street:

Postcode, city:

Country:

Telephone:

Telefax:

Mobile:

URL of the employer:

Email:

Private address

Street:

Postcode, city:

Country:

Billing address:

privateofficial

VAT (required if invoice to corporation/association):

I confirm that all of the details I have entered are complete and correct. I have read the terms of admission for membership, and confirm that I fulfil the requirements.

I do not want to be listed as a member in publicly accessible EACD publications.

I work in the following field(s) professionally:

culture

industry

technology

education

insurance

tourism

energy

legal matter

transport

environment