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Applications for Membership

To apply for membership:
Complete this form, providing all information requested. Please remember that fields with "*" must be provided!
Incomplete form will not be accepted.
The online subscription is for the Subscriber's personal use. Use of the Subscriber's username and password to access the online services by anyone other than the Subscriber, whether or not authorized by the Subscriber, will entitle the INSAM to disable the user to the online services without further notice.

Application for membership

* Last Name (family name):

* First Name:

Company/Institution:

Company/Institution URL (if available):

* Street Address:

* City:

* State/Province:

* Postal/Zip Code:

* Country:

* Email Address:

Phone Code:

Phone:

Fax:

* Main field of interest in agrometeorology (1):

* Main field of interest in agrometeorology (2):

* Main field of interest in agrometeorology (3):

Main field of interest in agrometeorology (4):

Main field of interest in agrometeorology (5):

* Username (Max 10 chars.):

* Password (Max 10 chars.): - * Re-type Password:

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