International Society for Rock Mechanics

MEMBERSHIP FORM

To apply for membership of the ISRM please print this membership form, fill it in and send it to
the Secretariat through Fax No. (+351) 21 8443021 or e-mail it to: secretariat.isrm@lnec.pt.

First name:______________________ Surname:________________________ Title: _____

Company: __________________________________________________________________
Address: __________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Telephone: ____________________________ Fax: ________________________________
E-mail: ___________________________ Website: ________________________________

ISRM individual annual membership as Corresponding Member (EUR 20*) ___________

* EUR 40 in the second and subsequent years if from a country with an ISRM National Group

ISRM annual membership as Corporate Member (EUR 160) _______________________

Category of Services or Products:
Suppliers of Rock Mechanics Equipment and Materials
Suppliers of Rock Mechanics Services

Consultants
Contractors
Electricity Supply Companies
Mining Companies

Publishers
Research Organizations
Government Departments
Other Corporate Members

PAYMENT (please mark as appropriate)

Online payment. This is the preferred and faster means of payment. You will receive an
e-mail with an invoice and payment instructions soon after sending this membership
form. Please don’t forget to include your e-mail in this form, or otherwise your request
cannot be processed.

Bank draft (personal cheques are not accepted).