IDEA Membership Application Form

IDEA - International Digital Epigraphy Association

c/o AEDEKA Srl, Via Umberto Forti, 6

56121 Montacchiello (Pisa)

Fiscal Code 90059300600
Membership Application

I hereby apply to become a member of IDEA for the current year and I agree to be bound by the rules of the association in force at the time.

Charter of the International Digital Epigraphy Association
Individual

Annual Membership Fee € 50.
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone

Country Code Number
E-mail
Affiliation
Website
Supporter under 35 years

Annual Membership Fee € 20.
Name

First name Last name
Address

Street Address

Riga 2 dell'indirizzo

City State / Province

Postal / Zip code Country
Phone

Country Code Number
E-mail
Affiliation
Website
Organization

Annual Membership Fee € 500.
Organization Name
Address

Street Address

Riga 2 dell'indirizzo

City State / Province

Postal / Zip Code Country
E-mail
Website
Organization Representative

First Name Last Name
Phone

Country Code Number
E-mail
Membership Fees Payment
You can make your payment for Individual, Supporter or Organization Membership by Bank Transfer, by www.transferwise.com or via PayPal* to:

IDEA - International Digital Epigraphy Association

IBAN: IT89 R010 0504 0000 0000 0007 851

BIC: BNLIITRR

Receiving Bank: BNL - Banca Nazionale del Lavoro

Street: via Dante Alighieri 32/40

City: Bari

Zip Code: 70121

Country: Italy

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Data processing & Policy *

I agree that my personal data being processed in accordance with the General Data Protection Regulation (GDPR - Regulation UE 2016/679) and the Legislative Decree 196 of the 30th June 2003
Should be Empty:

Individual

Supporter under 35 years

Organization

Membership Fees Payment