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APPLICATION FORM


2009 APPLICATION FORM


Please, fill out this form online or print it and send to

Centre russe d’études politiques (CREP)
15, rue du Cendrier
Case Postale 1106
CH – 1211 Genève 1

Switzerland

When sending this form by mail, please attach proof of payment

 

 

*required fields

 

Full name (last and first name) of applicant (or, for corporate members, name of organization)*:

 

 

Position/affiliation*

Preferred mailing address*


Country*

 

Mobile tel.

 

E-mail*

 

Yes, I would like to become an INDIVIDUAL MEMBER of Centre russe d’études politiques for 2009 (ending 30 September 2009) and receive one copy of the journal Security Index (four issues per annum) as well as other publications and information, plus receive a 10% discount on consultancy services provided by the Centre.

Russian Edition (in Russian) – one copy or

International Edition (in English) – one copy

Yes, our organization would like to become a CORPORATE MEMBER of Centre russe d’études politiques for 2009 (ending 30 September 2009) and receive FIVE copies of Security Index (four issues per annum) and other publications and information, plus receive a 10% discount on consultancy services provided by the Centre.

Russian Edition (in Russian) – five copies or

International Edition (in English) – five copies or

both in Russian ( copies) and English ( copies) – total of five copies

 

Yes, I would like to become a STUDENT MEMBER of Centre russe d’études politiques for 2009 (ending 30 September 2009) and receive a copy of Security Index (four issues per annum) and other publications and information (proof of student ID sent to join@crep.ch separately

Russian Edition (in Russian) – one copy or

International Edition (in English) – one copy

 

PAYMENT METHODS:

 

I will mail a check made out to Center for Policy Studies (Russia)  (payments in US Dollars only) to the postal address of CREP.

individual member: $120.00 USD

corporate member: $600.00 USD

student member: $60.00 USD

Please send me an invoice (for payments in CHF only) to my address/email as indicated above.

individual member: 120.00 CHF

corporate member: 600.00 CHF

student member: 60.00 CHF

I choose to pay by credit card at http://www.crep.ch/en/subscription.html.

individual member: 120.00 USD

corporate member: 600.00 USD

student member: 60.00 USD

 

ADDITIONAL INFORMATION:

 

I/we would like to financially support Centre russe d’études politiques and its activities

I am mailing a check for by separate mail.

Please provide me with your bank information for a wire transfer

 

Centre russe d’études politiques is a non-governmental non-profit association incorporated in Canton Geneva. Donations and contributions are tax-deductible.

We are interested in the publication of our commercial/promotional information/advertising material in the journal Security Index. Please send us your price list and inform about special offers for members.

 

I would like to recommend two individuals/corporations for membership of the Centre russe d’études politiques (please indicate name and contact information: address and/or email).

 

1.

2.

 

Sign your name*

 

Decisions on admission of new members are made by the Centre’s Committee. Please allow 4 to 8 weeks for membership application processing. The Committee retains the right to decline an application without an explanation of its motive (Art. 3 of the Statute).

 

 

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