FEDORA APPLICATION FORM - FORMULAIRE D'INSCRIPTION
This form is currently inactive - please post or email applications to:
Ms Paula Ferrer-Sama
FEDORA SECRETARY
National University of Distance Education
School and Career Guidance Office
C/ Rios Rosas, 44-A
E - 28003-Madrid, SPAIN
Tel: +34 91 398 75 18
Fax: +34 91 398 75 17
Email: pferrer@pas.uned.es
NAME - NOM
FIRST NAME - PRÉNOM
JOB TITLE - FONCTION
ORGANISATION - ORGANISME
ADDRESS - ADRESSE
POST CODE - CODE POSTAL TOWN - VILLE
COUNTRY - PAYS
PHONE - TÉLÉPHONE
FAX
E~MAIL
WORKING GROUP
WORKING LANGUAGE - LANGUE DE TRAVAIL ENGLISH FRANÇAIS MY FEDORA MEMBERSHIP FEE: Full membership 70 Euros
New EU member state 50 Euros
Institutional membership 200 Euros Company membership 500 Euros HAS BEEN TRANSFERRED TO: Credit Lyonnais VISA CCP Bruxelles EUROCARD/MASTERCARD OR - OU |