ASSOCIATION FRANÇAISE DE LINGUISTIQUE COGNITIVE
FRENCH COGNITIVE LINGUISTICS ASSOCIATION
(AFLiCo)
MEMBERSHIP FORM 2017
To be completed and returned (via email or regular mail) to the Secretary:
Craig Hamilton,
15 rue Camille Sée, 68000 Colmar, France
[email protected]
Membership of AFLiCo is open to anyone upon payment of dues. Membership is for one calendar year.
Name:
Email :
Address:
Type of member :
regular
student
(20 €)
(10 €)
Type of payment :
money order/transfer
cheque
Tick the appropriate check box by clicking it. Students please provide proof of student status (e:.g. copy of ID card).
I agree to my name being included in the list of members on the AFLiCo website.
YES / NO
Date (dd/mm/yyyy) :
For money order or transfer: Please pay € 10 (student) or € 20 (regular) to AFLiCo, Société Générale:
-
Account number: 00050775049 / 78.
IBAN: FR76 30003 01289 00050775049 78
BIC: SOGEFRPP
Please specify in the comment line: MEMBERSHIP AFLiCo <your name>
Only French cheques will be accepted. Send completed form with a cheque (made payable to AFLiCo) to the
address above.
In case of inquiry, you may be asked to provide proof of payment.