Institutional Membership
Application Form for INFER

International Network for Economic Research, INFER
Dr. Michael Pickhardt (Chairman)
Chemnitz University of Technology
Faculty of Economics
Reichenhainer Str. 39
09107 Chemnitz
Germany
Fax: ++49 371 531-26439

We declare our accession to INFER

• We are willing to pay a yearly membership fee of Euro 200.
  (Certificates for submission to your revenue office will be sent as the fee might be tax deductible in your country).

• Please charge our bank account with the annual membership fee
  Applicable only if you have a bank account in Germany.

• Please charge our credit card (a credit card surcharge of 2 EUR applies)

  Name of Card holder:
  Visa:   □                       Master Card:   □	Credit Card Number:
  Card Verification Code (last 3 digits near to signature on the back of card):	Expiration Date (month/year):

 

Institution
Contact person: Surname / Title	First Name
Address
Phone	Fax
E-mail	Homepage
Location, Date:	Signature (and stamp, if at hand):

Our bank account:
Account no.: 3 020 219 997, HypoVereinsbank, Ludwigshafen, Germany, bank code.: 545 201 94 .
For international transactions please use the International Bank Account Number and the SWIFT-Code:
IBAN: DE33 5452 0194 3020 2199 97
SWIFT (BIC): HYVEDEMM483

The membership is valid for the current calendar year and is automatically extended for another year if the Board does not receive a written notice before the end of October. New members have to pay their membership fee when becoming member. Existing members have to transfer the fee during the first quarter.