The LISA Education Initiative Taskforce (LEIT) Homepage

LEIT

Publications

Resources

Join LEIT

MEMBERSHIP CLASSIFICATION

University/R&D Membership		$ 500

For corporate sponsorship information, please contact leit@lisa.org
Organization Name:
Date organization was founded:
Title
First Name:
Last Name:
Job Title:
Mailing Address:

City / State:
Postal Code / Zip:
Country:
Email:
Business Telephone:
Direct Line:
Mobile:
Fax:
Company Website:

Please indicate payment method:

Bank transfer in US Dollars to:
(Please remit the full amount without any deduction of Bank and/or transaction charge)

Account Name: The LISA
Account Number: R 5070.91.74
Bank Name: Banque Cantonale Vaudoise
Address: Rue de l'Horloge 1, CH-1337 Vallorbe, Switzerland
Clearing Number: 767
Swift : BCV LCH 2L
IBAN Code: CH81 0076 7001 R507 0917 4

Mail cheque, made payable in US Dollars to:

The L.I.S.A., Domaine en Praël, 1323 Romainmôtier, Switzerland

Credit card:

All credit card fields are mandatory

Credit Card: Visa American Express Mastercard

Card Number:

Exp. date: /

Account Holder Name:

Transaction amount: (fees and tr. charges) US $

Notice: Your application will not be processed unless full payment is received. Additional membership materials, member web domain registration and Directory Insertion forms will be forwarded immediately upon acceptance of your application.