You want to become a member of the ISPPM?

yearly member fee: 96,- Euro
reduced (parental leave, students and low income): 60,- Euro
East Europe member fee: 36,- €

Please complete the following form and send it completed back to the Secreteriat of the ISPPM.

name*
title first last
preferred language
- German
- English
address*
street address address line 2 city ZIP / Postal Code country
birthday
profession
phone
e-Mail*
Enter Email Confirm Email
website
membership*
- Normal Membership (96,- €)
- Reduced for students and low income (60,- €)
- Members from East Europe (36,- €)
- Voluntarily increased contribution (at least 120,- €)
- Institutional Membership with place in the extended board
Voluntarily increased contribution (at least 120,- €)*
I would like to get the annual publication (in German with english abstracts) for 25,- €*
- Yes
- No
anual fee
0,00 €
Submit*
- Yes, I want to become a member.
SEPA Direct Debit
You make our volunteer work easier by direct debit. Thank you for your understanding.
I like to a SEPA Direct Debit Mandate (not possible in all countries, mostly only in the EU):*
- Yes
- No
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Application Form here in PDF.

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International Society for Pre- and Perinatal Psychology and Medicine - isppm e.V.

Sudetenstraße 7
65527 Niedernhausen
Hessen

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SEPA Direct Debit