IAGP - QUICK RENEWAL FORMS (ORGS)

QUICK IAGP MEMBERSHIP RENEWAL FORM
ORGANISATIONAL AFFILIATES
Now with annual billing!
Pay now to renew your membership until 30th September, 2019

Name of organisation:

Name of administrative contact person:

E-mail address:

Please retype e-mail address:

Please consult the table below and indicate your country band (A, B, C or D) and number of members in your organisation:

Total amount to be deducted from credit card (in $US):
Please do not include the dollar sign - just the amount)

Please confirm total amount to be deducted from credit card (in $US):
Please do not include the dollar sign - just the amount)

MEMBERSHIP DUES UNTIL 30TH SEPTEMBER, 2019

Number of members in organization Country Band A (full fees) Country Band B (50% fees)
Country Band C (40% fees)
Country Band D (30% fees)

Less than 50 $100 $50 $40 $30

50-100 $200 $100 $80 $60

101-200 $300 $150 $120 $90

201-400 $400 $200 $160 $120

401-600 $500 $250 $200 $150

601-800 $600 $300 $240 $180

801-1000 $700 $350 $280 $210

Over 1000 $800 $400 $320 $240

COUNTRY BAND A - FULL DUES
Andorra, Antigua & Barbuda, Argentina, Aruba, Australia, Austria, Bahamas, Bahrain, Barbados, Belgium, Bermuda, Brunei, Canada, Cayman Island, Channel Islands, Chile, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Faeroe Islands, Finland, France, French Polynesia, Germany, Gibraltar, Greece, Greenland, Guam, Guyana, Hong Kong, Hungary, Iceland, Ireland, Isle of Man, Israel, Italy, Japan, Korea Rep, Kuwait, Latvia, Liechtenstein, Lithuania, Luxembourg, Macao, Malta, Monaco, Netherlands, Netherlands Antilles, New Caledonia, New Zealand, Northern Mariana Islands, Norway, Oman, Palau, Panama, Poland, Puerto Rico, Portugal, Qatar, San Marino, Saudi Arabia, St Kitts and Nevis, Seychelles, Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Trinidad & Tobago, Taiwan, United Arab Emirates, United Kingdom, United States, Uruguay, Virgin Islands (US)

COUNTRY BAND B - 50% DUES
Albania, Algeria, American Samoa, Armenia, Azerbaijan, Belarus, Bosnia & Herzegovina, Botswana, Brazil, Bulgaria, China, Colombia, Costa Rica, Cuba, Dominica, Dominican Republic, Ecuador, Equatorial Guinea, Fiji, Gabon, Georgia, Grenada, Guatemala, Iran, Iraq, Jamaica, Jordan, Kazakhstan, Lebanon, Libya, Macedonia, Malaysia, Maldives, Mauritius, Mayotte Mexico, Montenegro, Namibia, Nauru, Paraguay, Peru, Romania, Russian Federation, Samoa, Serbia, South Africa, St. Lucia, St Vincent and the Grenadines, Suriname, Tonga, Turkey, Turkmenistan, Venezuela, RB

COUNTRY BAND C - 40% DUES
Angola, Bangladesh, Belize, Bhutan, Bolivia, Cameroon, Cape Verde, Cambodia, Congo Republic, Cote d’Ivoire, Djibouti, Egypt Arab Rep, El Salvador, Ghana, Honduras, India, Indonesia, Kenya, Kiribati, Kyrgyz Republic, Kososvo, Lao, PDR, Lesotho, Marshall Islands, Mauritania, Micronesia, Moldova, Mongolia, Morocco, Myanmar, Nicaragua, Nigeria, Pakistan, Papua New Guinea, Philippines, Sao Tome, Principe, Solomon Islands, Sri Lanka, Sudan, Swaziland, Thailand, Timor-Leste, Tunisia, Ukraine, Uzbekistan, Vanuatu, Vietnam, West Bank & Gaza, Zambia

COUNTRY BAND D - 30% DUES
Afghanistan, Benin, Burkina Faso, Burundi, Central African Republic, Chad, Comoros, Congo, Dem. Rep; Eritrea, Ethiopia, Gambia, Guinea, Guinea-Bissau, Haiti, Korea, Dem People’s Rep; Liberia, Madagascar, Malawi, Mali, Mozambique, Nepal, Niger, Rwanda, Senegal, Sierra Leone, Somalia, Syrian Arab Republic, Tajikistan, Tanzania, Togo, Uganda, Yemen, Zimbabwe.

Comments/details of any changes to your membership

TERMS OF SERVICE FOR PAYMENT TO IAGP BY CREDIT CARD

Payment Terms and Conditions: Payment of the fee for all categories of membership are established by the terms set forth on the website of the International Association for Group Psychotherapy and Group Processes, hereforth referred to as IAGP, at www.iagp.com/membership. All categories of membership are not transferable.

I understand that by completing the payment information, I authorize the IAGP to charge the appropriate fees to my designated credit card. Membership itself does not become activated until the actual monies, authorized by credit card payment, are received by IAGP and confirmation of the payment is issued to the payee from the administrative Office of IAGP. Furthermore, I understand that fees paid to IAGP are non-refundable, even in the event of discontinuation of membership because of illness, death, dissolution of the paying professional Organization in the case of Organizational membership, change in professional status or practice, or resignation. In accordance with IAGP by-laws, in the event of dissolution of this Association monies cannot be returned, since they must be transferred to a charitable organization.

IAGP is incorporated in Switzerland and has been granted the status of a Swiss tax-exempt charity (Reg. no. 409/2003). Please consult your personal tax consultant in your country as to the tax implications for payment of the dues.

Applications to join IAGP and to renew IAGP membership should be submitted online only using the form on this page. If you have any questions, please contact . The IAGP's official address in Switzerland (not for correspondence): is Besmerstrasse 27, 8280 Kreuzlingen, Switzerland.

I hereby confirm that I have read and agree to the above terms of service and the information supplied on the IAGP website. I hereby authorize the IAGP to process my credit card payment.

Information collected on this page and elsewhere on this site will not knowingly be passed on to any third party or used for unsolicited mailings.