Application for Membership

The undersigned herewith applies for membership in the International Musicological Society.
(* indicates a required field)

Choose membership category:
*

The membership fee for has been paid through *:

Credit card:
If you pay by credit card please fill out the card number and the expiry date. This form is using a secure connection, although you use it on your own risk.
Alternatively, please send card number and expiry date as well as the last three digits of the authorised signature on the backside of the card to the treasurer by FAX to +41-44-923 10 27 or by mail to: IMS, POB 1561, CH-4001 Basel (Switzerland).

Card number
Expiry date
Security code:
(last three digits on the back-side)

Bank payment to:
bank zweiplus, CH-8048 Zurich (Switzerland)
Account No. 0.43415-3-1100 (CHF/USD) 0.43415-3-3000 (EUR)
BIC: BZPLCHZZXXX Bank-Clearing-No. 8703
SWIFT-Code: BZPLCHZZ
IBAN-No. for CHF/USD-Account: CH54 0870 3004 3415 3110 0
IBAN-No. for  EURO-Account: CH67 0870 3004 3415 3300 0

Post payment to:
IMS
POB 1561
CH-4001 Basel (Switzerland)
Postal checking account No. 40-9370-1
IBAN-No. CH71 0900 0000 4000 9370 1

Bank checks
Unfortunately, payment can no longer be made by bank check -
our bank does no longer accept payments by check.
Please use one of the means of payment mentioned above.


Address (as to be listed in the Membership Directory):
(for group membership enter chair of the group and send e-mail with address of all members of the group to )


Title(s)
First name *
Last name *
Organization
Street No. *
Post code *
City / Town *
Province / State
Country *
Phone
Fax
Email *