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Tipo de membresía *	Individual Membership (Euros60.00) Membership Fee for individuals for period 2012-2014. Institutional (Euros130.00) Institutional Membership (Universities, Associations, Organizations) for period 2012-2014. Student Membership (Euros30.00) Student Membership for period 2012-2014. Must be enrolled in an Academic Program. Lifetime membership (Euros1000.00) Permanently join the IOHA Bronze Contribution (Euros30.00) Contribution to IOHA. If you need a receipt for tax purposes, please contact the IOHA Treasurer. Silver Contribution (Euros60.00) Contribution to IOHA. If you need a receipt for tax purposes, please contact the IOHA Treasurer. Gold Contribution (Euros120.00) Contribution to IOHA. If you need a receipt for tax purposes, please contact the IOHA Treasurer. Platinum Contribution (Euros300.00) Contribution to IOHA. If you need a receipt for tax purposes, or if you would like to make a different contribution, please contact the IOHA Treasurer.
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Tu nombre * Tus Nombres y Apellidos
Tu dirección de Correo * Un correo de confirmación será enviado a ti a esta dirección
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Organization Type here the organization you belong to. (It can be the department or office within a university the member belongs to).
University Name of the University you are affiliated to. Leave blank if any.
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