JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Membership form
Become a member of the Royal Belgian Botanical Society for 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Membership type
*
Choose
Full member residing in Belgium with journal (30 €)
Full member residing outside Belgium with journal (38 €)
Full member with free access to the Botanic Garden in Meise (45 €)
Full member residing in Belgium with journal and free access to the Garden (50 €)
Student membership with journal (20 €)
Student membership with free access to the Botanic Garden in Meise (25 €)
Student membership with journal and free access to the Botanic Garden in Meise (30 €)
Supporting membership, without journal or free access to the Botanic Garden (15 €)
Supporting student membership, without journal or free access to the Garden (10 €)
I no longer want to be a member of the Society
Section Phycology
I would like to be a member of the section Phycology (no additional fees)
Family name
*
Your answer
First name
*
Your answer
E-mail address
*
Your answer
Street and number
*
Your answer
Extra address line (optional)
Your answer
Postal code
*
Your answer
Town
*
Your answer
Country
*
Your answer
Comments (optional)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
