Membership Form

H‐1276 Budapest P.O.BOX 28 / HUNGARY
Email: secretary@ibssa.org

PLEASE FILL WITH CAPITAL LETTERS ONLY!

Registration number

Country code

Classification

First name

Middle Initial

Family name

Street

Zip code

City

Country

Phone

Fax

Mobile

Url

E‐mail 1

E‐mail 2

Date of birth

Place of birth

Language 1

Level

Language 2

Level

Language 3

Level

Licenses

Abilities

Specialities

Notes

Proposed by

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