Thank you for using our website for the renewal of your membership for the upcoming year May 2021-2022. The procedure is quite easy and consists of 3 steps:

1. Submit your personal data and registration.
2. Make a payment through your creditcard or by banktransfer.
3. Confirmation of reception of request for mambership.
IMPORTANT :

Please understand that for your membership to become firm, we have to receive the complete payment.
If needed, you will receive an official certificate of payment.

To avoid technical difficulties PLEASE DO NOT click on the "BACK Button"
while using the on-line application system. Thank you.


Title:
Family name (*)
First name (*)
Institution/University (*)
Department
Street address:
Zipcode: City :
Country:
Telephone: (*)
Email address: (*)


(*) these are required fields.



We want to inform you that the information you are submitting will be treated under the legislation concerning private information and the General Data Protection Regulation of the EU.



Application for membership of SRCA 2021: (*)








(*) What is included ?
The 2021 Membership fees include the membership of the Society for the Study of the Cerebellum and Ataxias - the reduction of the registration fee of the annual symposium and 21% VAT.
(Please have a look at the SRCA website) - More information