Nile Basin Society
Nile Basin Society Membership Application form
Please fill in the following information.
* Title:
* Sex
* First Name
* Last Name
* Home Address
Address 2
* City
State/Province
Zip
* Country
* Phone
* Email Address
Alternate e-mail
* Highest education achieved
Discipline/Major
* Occupation
* Employer
* Business
Work Address
Work web site
* Experiences of interest to NBS mission
* How can you help NBS achieve its goals?
Donate
Post to discussion forum
Represent NBS in local meetings
Represent NBS internationaly
Web design
System administration
Write articles
Other, please specify
 
* Country of origin
* Do you represent another NGO as NBS affiliate?
No Yes, I represent  
* I had:
  • read and abide to the NBS by-laws and its mission/objectives on its web site
  • understand that I have to inform the NBS administration of changes to my e-mail address and contact information.
  • agree that electronic means are (through e-mail and/or discussion forums) is the method of choice for contact and meetings and I shall do my best to keep these channels open.
  • understand that a membership fee may be required and I shall send the fee (according to by-laws) by money order payable to the Nile Basin Society.
Yes, I agree 
* indicates response required