Sex: Title:
First Names: Last Name:

Date of Birth: Nationality:
Profession:

Address:
Country: ZIP: City:
Telephone: Mobile: Fax:
E-mail: Webpage:

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"Yes" or "No" 
I would lilke to be an international member of AFA. 
Members from outside of Austria receive all informations on 
international conferences and events organized by AFA. 
There is no membership fee for international members.

"Yes" or "No" 
I speak English.

"Yes" or "No" 
I speak German.