Application for Membership for an Organizational Member

Fill in the following fields to apply for a COGAIN membership.

Organization

Name of the member organizarion: *

Street address:

City:

Postal code:

Country:

Contact

First name of the contact: *

Family name of the contact: *

Email address of the contact (used as a reference for the payment): *

Phone number:

Method of payment

Payment: *

Directly by bank transfer (see information below)

Please send an invoice

Information

The membership fee is 100 EUR. If you choose to pay by bank transfer, use the following information:

Name of the account holder: The COGAIN Association
Bank: Danske Bank (Denmark)
Registration number: 9402
Account number: 4800403367
IBAN account numer: DK0230004800403367
Swift-code: DABADKKK

IMPORTANT! Any bank or other charges for the transfer must be added to the payment!
Please use your email address given above as a reference for the payment.

Invoice address (if different from the address given above):

This field can be ignored if you choose to pay directly by bank transfer.

Additional information:

The membership will be effective after the Association receives the membership fee.
Membership fee period is one year. A reminder email will be sent for the next year's payment.

I accept the statutes of The COGAIN Association:

Not accept

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Application for Membership for an Organizational Member