Membership -

Application Form DIVERSITY IN ARCHITECTURE e.V

Gender

female
male
non-binary

Name *

First

Last

Date of Birth *

Institution

Function

Adress

Private
Business

Adress Infos

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Telefon

E-Mail *

Email

Confirm Email

Annual Membership Fees *

Choose Payment Method *

PayPal or Credit Card
Bill Transfer
Authorization for Direct Debit

The first debit of the annual fee will be made within 14 days after registration. After that, the annual fees will always be debited in January.