Become an ATGENDER member now by filling in the form below!

Dear (soon-to-be) Member,

We are thrilled to welcome you to our organization! To become an ATGENDER member for 2024, the following rates apply:

Institutional Full: €500
Institutional Reduced: €250
Individual Full: €85
Individual Reduced: €50
Student: €30

Please fill in all fields of this registration form and proceed to the PayPal payment module below. If you prefer not to pay via PayPal, after clicking on “submit” you can skip the payment page and wait for an invoice from us in order to pay via bank transfer.

If your bank demands costly transfer fees, you can pay via TransferGo or a similar transfer method. If you need to pay this way, please contact us for more details.

In case of any registration problems, be sure to contact us at info@atgender-test.wp.hum.uu.nl so we can be of assistance.

If you wish to apply for a reduced fee, fill in the motivation section. When your motivation is accepted you will receive a payment invoice.

Welcome to ATGENDER!

ATGENDER Membership Form

Membership Category*

Institutional Full

Institutional Reduced

Individual Full

Individual Reduced

Student

Reduced Fee Motivation*

Personal Information

Prefix

First Name*

Surname*

Suffix

Street Adress*

Address Line 2

City*

State / Province / Region (if applicable)

Postal / Zip Code*

Country*

Email*

We use your email address for communication purposes only

Professional Information

Institutional Affiliation*

Institutional Affiliation Institutional Representative

(only with Institutional Membership Category)

I am registering as an official

yes

no

Official Representative #2

Official Representative #3

Student ID*

Drop a file here or click to uploadChoose File

Maximum file size: 102.4MB

Please check these boxes before submitting your request*

I agree that my data may be used for administrative and statistical purposes within ATGENDER

I am aware that I can withdraw my consent to the use of my data at any time

On submit you will be sent to the Paypal payment gateway. Should you for some reason not want to use Paypal you can make a bank transfer to AtGender. Our bank is Triodos Bank, IBAN: NL52 TRIO 0391 0805 98 BIC: TRIONL2U. Please don't forget to indicate the name of the new member.

If you are human, leave this field blank.