Scand-LAS

Membership application

  * Must be there
  About You
First name: *
Last name:*
Address:*
Address:
address:
Zip:*
Town:*
P.O. Box :
Country:*
Email:*
Secondary email:
Occupation:
Birthyear: syntax: yyyy
Message to secretary
   
  About your workplace
Company*
Department*
Contact person (at the facility) *
Contact person email *
  This information is only used internal in ScandLAS
   
Billing Address . We use E-invoice by email, but if you need a paper invoice fill in your details here. If others in your department already has a paper invoice , please contact us and we'll connect you to this invoice
Yes, send the invoice to this address
yes   no  
We prefer pdf invoice
yes   no  
Invoice reference
Invoice address 1
Invoice address 2
Invoice address 3
P.O box
Zip
City
   
   

 

Membership fee: 30 € 

Do not send ordinary cheques, please!
We will sending you an invoice

 

Applications Sponsor: All new applicants are required to have at least one current Scand-LAS member's signature underneath:

  About Sponsoring member
Name:*
Email:*
Country:*
   
 
 
Note: All data is only handling by secretary,webmaster and the board.
We are also save in a database. No email address is handling over to any outsider. Questions about this contact webmaster@scandlas.org