Application for Individual Membership of the International Federation of Environmental Journalists

Please, print out this page and send it by mail to IFEJ HEADOFFICE.
Don't forget to sign the document! Further instructions see at the bottom of this page.

Personal details

Name :

First Name :

Title :

Date of birth :

Street & No :

City :

Postal code :

Country :

Home Phone :
Home Fax :

E-Mail :

N° National Press Card :

N° International Press Card :

Professional details

Freelance: Yes ............ No ..........

Fulltime journalist Yes ............ No ..........

Member of a national federation of environmental journalists : Yes ............ No ..........

Name of the National Federation: ...................................................................

Employer:

Department:

Street & No :

City :

Country :

Postal code :

Work Phone:

Work Fax:

Work e-mail

Primary Area of Employment

Newspaper

News Service

Newsletter

Magazine

Television

Radio

Illustrator

Photographer

Lecturer

Teacher

Translator

Student

Annual Membership Fees : 25 $ (USD)

If possible, please enclose 50 $ for a two years membership

I hereby apply for membership in the International Federation of Environmental Journalists. I understand the Board elected by the Administrative Council retains sole authority in determining eligibility for membership.

Signature .....................................................................................

Date .....................................

1) Fill out application as accurately as possible. Attach additional pages if necessary.

2) Attach payment for fees in form of a travellers cheque, made out to the exact amount of your membership fee, signed twice and endorsed on the back in
the following way: "Please credit this cheque to account FR 39 20041 01007 1180968J038 96 of the International Federation of Environmental Journalists, at LA POSTE – Cheques Postaux LYON ".

Please sign this endorsement also.

If you pay with a french cheque, please write only " IFEJ - International Federation of Environmental Journalists "

3) Please always make reference to the calender year(s) for which you intend to pay your fee (e.g. 1998 and 1999) on the back of the cheque.

4) Exceptionally, membership fees can be paid during the congresses of the IFEJ.

5) Membership will not be effective until fees have been paid. Non-payment of membership fees for two years will automatically mean loss of membership status.

6) IFEJ-Membership entitles you to free access to all IFEJ-services like: Internet-Listserv, Feature Service tc.

Mail application and fees to:

IFEJ HEADOFFICE

Center for Environmental Communication, Loyola University, 6363 St. Charles Avenue, New Orleans, Louisiana 70118 USA