EACS    European Association for Campus Security

F. Roosevelt av.  50 - CP 112
1050 Brussels - Belgium
Phone : 32-2-650.26.10
Fax 32-2-650.43.00
Email: ddeklerk@ulb.ac.be
  

EACS Membership Application

 

Applicant Name : Position :
Institution/Firm : Telephone :
Address : Fax :
City Email :
State : Website :

 

Membership Categories

O Institutional : 150 Euros (6150 FB)
O Associate : 100 Euros (4100 FB)
O Supporting : 100 Euros (4100 FB)
O Retired :  50  Euros (2050 FB)

 

Payment

O Check number :
O I make a transfer to the FORTIS bank SA
Montagne du Parc 3 - 1000 Brussels - Belgium
N° 001-3171758-31, quoting AESC-EACS/due 2001-2001 + your name

 

Signature of Applicant : Date : 

 

Send membership application with payment to :

EASC - AESC, c/o ULB, F. Roosevelt avenue 50, CP 112, 1050 Brussels, BELGIUM.