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Membership Application

Please fill out the form below and print it for mailing, or submit it electronically.  Membership will be effective upon IZE approval and transfer of funds to the account shown below. All payments must be made by check or money transfer. At this time, no credit card payments will be accepted.

Apply online | Apply through mail or fax

Apply online

Fill out the form below and press the "Send Application" button when complete. Check or money transfer must follow submission of application. Unless all boxes marked with an * are completed, this form cannot be processed.

Prefix
First Name*
Last Name*
Position/Title*
Organization*

 

Business Address
Street*
City*
State & Postal Code*
Country*
Region*
Telephone*
Fax
Email
Web Site

 

Home Address
Street
City
State
Postal Code
Country
Telephone
Fax
Email
Which address
do you prefer
mailings to go to?		 Business Home
Membership
Category:		 Institutional (US$500, €400)
Full (US$55, €45)
Corporate (US$125, €100)
 Associate (US$45, €35)
Library (US$30, €25)
Method of Payment:
Payment Currency:
Donation to support IZE
and developing nation
educators  		US$10 US$20 US$30 Other

Apply by mail or fax

Please complete the form above and accompany the application with payment. If performing a money transfer, please email Silvia Geser to communicate the transfer is underway.

Make a payment by check or money transfer:

Ask your bank to send the fee directly to:

Name and Address of the account:

International Zoo Educators Association IZE
PO Box 23
3097 Liebefeld
Switzerland
IBAN: CH03 0840 1016 1531 3730 5

Name and Address of the bank for check or money transfer:

Migrobank Bern
 Aarbergergasse 20-22
3001 Bern
Switzerland
BIC-/SWIFT-Code:  MIGRCHZZ80A
 

Please remember to include your name and address when transferring funds!! 

Fax or mail this information to:

Silvia Geser
IZE Central Office
PO Box 23
Liebefeld, Switzerland
Fax: 0041 (0)31 300 20 31
ize.centraloffice@izea.net