Application for membership in the GBS (Association for Endangered Languages)
I hereby apply for membership in the Gesellschaft für bedrohte Sprachen (Association for Endangered Languages):
(Please tick the appropriate box)
With income (annual membership fee of 30 Euros)
With low or no income (annual membership fee of 15 Euros)
Last name, first name
Date of birth
Address *


Telephone *
Telefax *
e-mail * (Web page)
Focus of interest
Regional specialization
I hereby acknowledge that my name and my address will be stored for use in correspondence with the GBS. (The data will not be given to any other party.)

Place, Date                                                  Signature
Please print out this form and send the completed membership application form to the following address:

An die Schriftführerin der GBS
Institut für Linguistik, Allgemeine Sprachwissenschaft
Universität zu Köln
D-50923 Köln
Germany

After receiving confirmation of membership please transfer your annual membership fee to the following account:
Gesellschaft für bedrohte Sprachen e.V.
Account number 4033 513 900, GLS Gemeinschaftsbank Bochum (BIC 430 609 67)
IBAN: DE48 4306 0967 4033 5139 00
Swift-BIC: GENODEM1GLS
* Please provide the address, telephone and fax number you would like GBS to use when contacting you.