Membership Form

Support organization

Full name of organization

Street

Nr.

Postcode

City

Country

Person in charge

TitleMr.Ms.Other

Surname

Name

Email address

Type of membership chosen

MembershipSelect a format for your membershipAlly : €3,000/yearProtector : €5,000/yearGuardian : €10,000/year

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We would be happy to discuss the financial details of your participation in supporting CMC.

If you have any questions, please email the editorial team at jonathan.dumont@uliege.be.