Institutional membership form

Institutional Membership Form
To become a SISC institutional member you must fill out the registration form below.
The membership fee can be paid by credit card, bank transfer or paypal platform (account or credit card option both available).
Details on how procced with the payment will be sent after the check of the eligibiltiy of your institute.

Fields marked with * are required
About the Institute
Institute:*
Acronym:*
Type of Institution:*
Tax Payer Code:*
Address:*
City:*
For cities in countries other than Italy, please enter your province/state here. E.g. Washington, DC
Province*
For Italian cities. Please indicate "abroad" for the city in countries other than Italy
Post Code:*
Country*
URL:*
E-mail:*
Please do not include a PEC e-mail. Include the e-mail address of the person in charge of maintaining contact with the SISC.
Telephone:

Legal Representative
Legal representative's name:*

NameSurname
Institutional Position:*
Gender:*

MaleFemalePrefer not to say
Legal representative year of birth:*
yyyy
Fiscal code:*
Please indicate the personal fiscal code of your legal reppresentant. In case he/she has not a personal fiscal code, please indicare n/a
Legal representative citizenship:*
Legal representative Email
Italian speaker:*

YesNoA little
Would you like to include your legal representative in the SISC mailing list?*

YesNo

Delegate
Institutional members have the right to vote in the SISC General Assembly and in the SISC Elections.
Please indicate below the person who will represent your institute in the General Assembly and in the SISC Elections if different from the LEGAL REPPRESENTATIVE
Delegate name

NomeCognome
E-mail:
Italian speaker:

YesNoA little
Would you like to include your delegate in the SISC mailing list?

YesNo

Membership Options
Membership fee*

€ 1.500,00 - Platinum€ 500,00 - Gold€ 200,00 - Silver
Motivation
Please enter a short paragraph specifying the reasons why your institute want to join SISC
Statute
Please read the SISC Statute here
SISC Statute*

I accept SISC Statute

Privacy
PRIVACY PROTECTION
In accordance with the General Data Protection Regulation (GDPR) (Regulation (EU) 2016/679 of the European Parliament) we inform you that your personal data will be processed in accordance with the legal information provided at the "legal information page", in compliance with applicable laws and regulations in force. Your personal data is automatically processed by means of computerized systems solely and exclusively for the operations necessary to enable the management of the Association’s activities. SISC will not share, sell or disclose your email to third parties and use it only for communications related to the Association.

You may exercise your rights, including the right to obtain confirmation of the existence of data as well as their cancellation by sending an email to info@sisclima.it.
Privacy*

I accept

PAYMENT
About the receipt of payment (read carefully)
Membership fee is exempt from VAT according to D.P.R. 26/10/1972, n. 633, art. 1 and 4. A receipt of payment (ricevuta fiscale) will be issued after the payment.
The receipt of payment will be issued AFTER the payment to the abovemention details. In case you need a different header, please include it below.
I need a request of payment before to make the payment

YesNo
Method of payment*

Credit CardPayPalBank Transfer
Should be Empty:

Institutional Membership Form