Fill in the following form in order to become AIMC member. Before compiling the registration read the AIMC member's status click here to visualize the document in pdf format
If you prefer not to fill in the form below, you can download the registration form in pdf format and send it back once compiled [download the registration form in pdf format]

AIMC Member Cards will be available soon.

We remind you that all the fields of the form are obbligatory
If your personal data are in our database, please insert your E-mail and load it .
E-mail:  


Title: Mr.   Ms.    Mrs.     Dr.  

Name:
Last name:

Occupation:
Address:

City:
Postal code:

Phone number (internazional prefix included):
Fax (internazional prefix included):

State:

E-mail address:

   
Read informative by italian law D.Lgs. 30 giugno 2003, n. 196
Autorize Don't autorize
AIMC to acquire personal data for association and mailing list subscription.

Informative by italian law, art.13 del D.Lgs. 30 giugno 2003, n. 196.
Personal data acquired will be used by AIMC for the web site sign-in and for any possible future communication service. Your data delivery is optional; in lack of data delivery and permission to their treatment it will be impossible for AIMC to process present and future contacts. By Italian law (art.7 of D.Lgs. June 30th 2003, no. 196) you have the right of modifying your data asking for their update, amend, or integration and eventual cancellation.

   

Payment:

Bank transfer
Please make payments to the International Association of Contemporary Mosaicists and address it to:
Cassa di Risparmio di Ravenna
Sede Centrale
IT 96 Cin: Z Cab: 06270 Abi: 13100 Conto: 0000033781
Credit card


Registration fee:




RAMA internet service