Copy-and-paste the following into your word processer, then print out the form.  
Fill out the form and then fax or mail it to the address found at the end of the form.

Membership Fee

Membership fees structure (fees in Euros)

	1 year 
		- Regular €40. 
 		- Students €15.  
	3 years 
 		- Regular €100. 
		- Students €35.  
		
	Life Membership : available after 9 years of regular membership 
		- Regular €300. 
 		- Students not available  

	Society/Associations/Corporation 
 		- 1 year €40.
 		- 3 years €100.

Membership Application Form 

Print out and mail or fax to the Treasurer

Name_________________________________

Title and Organization _____________________________

Address
_____________________________________
_____________________________________
_____________________________________

Telephone: ________________________________ 

Fax: _______________________________

Email: __________________________________

I agree that this information is included in the 
Membership Directory (online or hardcopy)
	( ) yes 
	( ) no

Primary Activity (Check all that apply)
	( ) Academic 
	( ) Victim Assistance 
	( ) Government 
	( ) Volunteer 
	( ) Research 
	Other:_________

Membership Types: 
	( )Regular
	( ) Student
	( ) Life
	( ) Society/Association/Corporation


Payment process
Select your payment method below. Send a copy of the completed membership application to the Treasurer along ng with:

1. Cash or check in US dollars, payable to: 
      World Society of Victimology 
    
or

2. Bank transfer payment in Euros to: 
	World Society of Victimology, 
	Gladbacher Bank AG, 
	Moenchengladbach, Germany, 
	Bank Sorting Code 310 601 81, 
	Account 508 473 7013; 

(Remember to send this application form 
separately to the Treasurer)

or 

3. Charge my account (fill in all lines) 
( ) VISA 
( ) MasterCard

Amount to be charged € _________ 

Cardholder Name:___________________________________

Card number: (enter all 16 numbers)

______________________________________

Expiration date: _______/_______ 


Signature: ______________________________

The Treasurer is authorized to reduce fees for applicants from countries designated 
low income by the United Nations. For more information, communicate with the Treasurer
   
Prof. Dr. Paul C. Friday
Department of Criminal Justice
University of North Carolina
9201 University City Boulevard
Charlotte NC 28223 - 33490
USA
Phone: +1 704 687 4776
Fax  +1 704 687 3349
E-mail: pfriday@uncc.edu