Application Form


Please complete and send to ZAKS:

Name		________________________________

Street		________________________________

City		________________________________

Fax		________________________________

Email		________________________________


I am applying for the following category of membership (please check one box)

Full (50 Euro)										[  ]

Reduced (Income less than German BAT III)   (25 Euro)				[  ]

Family (70 Euro) 										[  ]

Student archaeologist (12 Euro)							[  ]

Retired or unemployed archaeologist						[  ]

Members living in Black Sea Countries			[  ]
(For special applications for sponsored membership, please write to ZAKS e.V.)
	
Life member (1200 Euro)									[  ]

All fees are annual.



City and Date								Signature


* Please send membership fees and donations to us at:

Bank Name:	HypoVereinsbank Halle, Germany
Bank Code:  	800 200 86
Account-No.:	326609013
Swift Code: 	HYVEDEMM 440

Executive Board of the Center for Black Sea Archaeology, ZAKS:
Prof. Dr. François Bertemes - Prof. Dr. Andreas Furtwängler - Prof. Dr. Carlola Metzner-Nebelsick
Dr. Gundula Mehnert - Dipl. arch. Henryk Löhr

c/o Institut für Prähistorische Archäologie - Brandbergweg 23c - 06099 Halle (Saale) 
Tel. 0345-5524053 - Fax 0345-5527057
http://www.blacksea-archaeology.org - e-mail: ZAKS@blacksea-archaeology.org