Revised 2023-05-23
Application for individuals in Associate Membership
Associate Membership is for members who not (yet) meets the EAGT criteria for Full membership
Personal Data:
Last Name:
First Name:
Street Adress:
Zip Code and Place/Town:
Country:
List me on https://ismember.eagt.org :
Name,email and above address
Name, email and limited info below
Do not list me
Limited info Specify
(max 100 char):
WebSite:
Email: