Section on Prevention in Transportation - Application for Membership | International Social Security Association (ISSA)

Membership application

International Section of the ISSA on Prevention in Transportation

Applicant

Name of member

Individual

Company

Institution

Association

Membership type

Applying for the following membership type:

For more information: please consult our Constitution.

Address

Street & Nr

City

City code

Country

Website

General Contact E-mail

I allow this e-mail address to be put on the mailing list of the ISSA Section on Prevention in Transportation.

Contact Person 1

Salutation

Title

Family name

First name

Function

E-mail

I allow this e-mail address to be put on the mailing list of the ISSA Section on Prevention in Transportation.

Phone

Contact Person 2

(optional)

Salutation

Title

Family name

First name

Function

E-mail

I allow this e-mail address to be put on the mailing list of the ISSA Section on Prevention in Transportation.

Phone

Billing address

(Fill in only if different from Contact Person 1)

Salutation

Title

Family name

First name

Function

E-mail

Phone

Agreement

I have read the Privacy Policy of the International Section of the ISSA on Prevention in Transportation and agree to the processing of my data in accordance with this Privacy Policy. By submitting this application, I agree to the terms and conditions of the membership as described in the Constitution.