Application / Renewal of Membership


All fields marked with an asterisk (*) are mandatory.
 

I / we will join / rejoin CMDC by choosing following Membership Category*

Please remit your payment by one of the following options*
by Bank Cheque in Swiss Francs issued in favour of CMDC, POB 200, CH-1211 Geneva 20
to CHF Bank Account IBAN No. CH11 0900 0000 1221 1295 7, BIC/SWIFT POFICHBEXXX - Post Bank, Geneva
       or to EURO Bank Account IBAN No. CH27 0900 0000 9186 2923 6, BIC/SWIFT POFICHBEXXX - Post Bank, Geneva
       for the equivalent amount if you prefer to pay in EUROs
 
Family Name*   First Name(s)*
 
 
Nationality*
  
Sex Age
 male   female
Organisation / Company*

 
Address*

 
ZIP/Place*   Country*
    
 
Phone   E-Mail*
 
 
Fax  

 
  
I am interested in the following activities
 
 new local Chapter  editorial contributions  new projects
 Please send information on IUSL, the International University for Sustainable Life

 
Comments / Suggestions
 
  Please send us a formal invoice
 

 

 

Cercle mondial du consensus, World Circle of the Consensus, Weltkreis des Konsens

CMDC, POB 200, CH 1211 Geneva 20, Switzerland
Phone: +41-22-910-3006, Fax: +41-22-910-3014, e-mail: info@cmdc.net