CEENet
Central and Eastern European Networking Association
Application

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CEENet
p.a. Vienna University Computer Center
Universitaetsstrasse 7
A-1010 Vienna, Austria
fax: +43 1 4277 9140

Application for CEENet membership

We apply for membership as an ordinary member of the Central and Eastern European Networking Association (CEENet) in accordance with §§ 4 and 5 of the statutes.

___________________________________________________________________________

(name of organisation)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

(address)

representing the research networks in                                                                  ___________________________ .

                                                                                                                      (country)

We appoint as our delegate

___________________________________________________________________________

(name of delegate)

___________________________________________________________________________

(e-mail)

 ___________________________________________________________________________

(phone, fax)

and as her/his deputy

 ___________________________________________________________________________

(name of deputy)

 ___________________________________________________________________________

(e-mail)

___________________________________________________________________________

(phone, fax)

 We have taken notice of the current statutes of CEENet and accept our obligations as a member of CEENet according to § 7(2) of the statutes.

 Signed:

  ___________________________________________________________________________

(date, signature)