DGMS membership application
Personal data - * mandatory fields
Membership type*:
Salutation*:
title:
Surname*:
First name*:
Date of birth*:
company:
Specialist groups:
Core Facility
Element MS
FT-MS
Imaging
LC-MS
Lipidomics
Young Scientists
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First address*
Workplace:
road*:
Postcode / town*:  
country*:
Tel.:
fax:
Mobile:
e-mail*:
Email Secretariat:
website:
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alternative address
road:
Postcode / town:  
country:
Tel:
fax:
Mobile:
e-mail:
website:
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Contribution payment
SEPA direct debit mandate Self payment

 I pay my membership fees independently and without being requested to do so by transferring them to the DGMS account (Postbank, IBAN: DE84 3701 0050 0993 9835 06, BIC: PBNKDEFF) by stating my membership number in the purpose of payment by December 31 at the latest for the following year.

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Contact address
     
Please send all DGMS mailings to the following contact
  First address
alternative address 		 
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Billing address
     
Please send invoices to the following address
  First address
alternative address 		 
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Address in the member directory
     
Please publish the following address in the membership directory:
  First address
alternative address
No 		 
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Access data for members area - * mandatory fields
User name*: Your email address from "First address"
password*:
Password repetition*:
Fee regulations and articles of association
I have the contribution regulations and Statutes read and agree to the regulations there.