International Christian Organisation of the Media
  
The World Forum of Professionals and Institutions in Secular and Religious Journalism
 
Membership Application 2013
  
Annual statutory membership fees are calculated with two percent annual increase by the general assembly.
  
 
   
-
Individuals   CHF 223.58
   
-
Institutions:  
   
Periodicals (dailies, weeklies, fortnightlies, monthlies, news agencies, etc): The annual membership fee of a publication is calculated on the basis of CHF 0.089 per copy of monthly circulation; and the individual membership fees of the professionals.    Minimum: CHF 1'793.65
   
Example:
- A weekly with 10,000 copies (40,000 copies a month) calculates: (CHF 0.089 x 40,000 = CHF 3'560.-).
- The weekly has 4 professionals; each of them pays CHF 223.58: (4 x CHF 223.58 = CHF 894.32).
- The annual membership fee of the weekly is CHF 3'560 + CHF 894.32 = 4'454.32
- If the calculations are lower than the proposed minimum membership fee, the member pays the minimum.
   
Books, Cassettes, Discs, CD-Rom, DVD, Video, etc: CHF 0.089 per copy per edition; and the individual membership fees of the professionals.   Minimum: CHF 1'793.65
   
Publishing Houses calculate on the basis of the total monthly circulation of all their publications and the individual membership fees of the professionals.    Minimum: CHF 1'793.65
   
Schools, Institutes of Journalism or Communication: CHF 0.51 per person (students and professors)   Minimum: CHF 1'793.65
   
Associations, Conferences, Federations, Regions, other groups: Calculations are done according to the nature of members (publications, schools, institutes, individuals, etc).    Minimum: CHF 1'793.65
   
 
Membership Application Form  
Please copy, complete and send this form to ICOM, CP 197, 1211 Geneva 20, Switzerland. E-mail: icom@bluewin.ch  
 
* = If applicable 

Name:

Address:

Nationality*:

[ ] Male*, [ ] Female*

Tel:

Fax:

E-mail:

Date of birth/foundation:

Place:

Language: [ ] English, [ ] French, [ ] German, [ ] Spanish 

My profession*, I work for, my position, my specialisation:

[ ] I enclose two passport size photographs for my International Press Card*

Character*: [ ] International, [ ] Continental, [ ] Regional, [ ] National, [ ] others:

Periodicity*:

Circulation*:

Readers*:

Who are your members*:

This year's membership fee is transferred in one of the following ways to:
[ ] Bank transfer: http://www.icomworld.info/une/ib.htm
[ ] Enclosed please find a bank cheque (please add Euro 18 for bank charges) 
[ ] Please charge the sum to my credit card [ ] Visa, [ ] Euro/Master Card, [ ] American Express (Credit card charges will be made in Swiss francs or US dollars with plus 7% for charges) 

Credit card number:
Card Holders Name:
Security number in the signature field:
Expires (date, month and year):
Signature: