Individual Membership

Should you be interested in joining EuroStruct, please fill in the application membership form bellow.

Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Job Title
Affiliation
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Citizenship
Phone
Fax
Email*
Educational Background (Degrees(s)):
Professional Accomplishment and Interest in Areas of Activity Covered by EuroStruct (short description):
Payment Method*
- Bank Transfer (IBAN: PT50 0010 0000 5533 2120 0016 3 // Swift: BBPIPTPL) - 75€
Payment Receipt*
Please upload your payment receipt.
Max. file size: 100 MB.