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Membership application for individuals

Please make your choice and fill in all personal data:

(The red * indicates compulsory fields)

Type of your membership *
 I am member of a group member: I would like to become an individual member AND subscribe to the online access of "Psychology of Sport and Exercise" AND receive access to the FEPSAC website login area (40 Euro)
Please email proof of group membership status to Alberto Cei (Treasurer).
 I am a student: I would like to become an individual member AND subscribe to the online access of "Psychology of Sport and Exercise" AND receive access to the FEPSAC website login area (35 Euro)
Please email proof of student status to Alberto Cei (Treasurer).
 I would like to become an individual member with no extra FEPSAC services (30 Euro)
 I would like to become an individual member AND subscribe to the online access of "Psychology of Sport and Exercise" AND receive access to the FEPSAC website login area (50 Euro)
Username *
First name *
Last name *
Position and title
Postal address *
City *
Postal code *
Country *
E-mail *
Telephone number
Would you like to be included in the Member Directory? *
 Yes
 No