Membership form
Membership form
I would like to join the International Organization for Dew Utilization
(OPUR) as an active member.
LAST NAME…………………………………………………………………………………………………………………………………………………………………………
FIRST NAME…………………………………………………………………………………………………………………………………………………………………
PERSONAL ADDRESS…………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………………
PHONE NUMBER……………………………………………………………………………………………………………………………………………………………
FAX NUMBER…………………………………………………………………………………………………………………………………………………………………
E-MAIL ADDRESS………………………………………………………………………………………………………………………………………………………
PROFESSION…………………………………………………………………………………………………………………………………………………………………
AFFILIATION………………………………………………………………………………………………………………………………………………………………
MOTIVATION…………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………………
[ ] I pay by Personal Check (to the order of OPUR)
– enclose the CheckAnnual Fee:
[ ] Individual:
45 EUROS/year or 20 EUROS/year if under 35 years old
[ ]
Corporate: please contact us
AT...................... Signature
DATE ..................
