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

 

I declare my accession to INFER

• I am willing to pay a yearly membership fee of EUR 25,-.
  (Certificates for submission to your revenue office will be sent as the fee might be tax deductible in your country).
   

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

  account no.:	at: (bank)
  in: (city)	bank code:

• Please charge my 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):

 

Surname	First Name
Title	Position
Address: private (   ) or office (   )
Phone
E-mail
Location, Date:	Signature:

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.