International Association for Educational and Vocational Guidance (IAEVG)
Internationale Vereinigung für Bildungs- und Berufsberatung (IVBBB)Asociación Internacional para la Orientación Educativa y Profesional (AIOEP)
SECTION 1 – APPLICATION/RENEWAL FORM FOR 2016
New Membership OR / Renewal (Please include your member ID #) / #TYPE OF MEMBERSHIP:
Individual (Complete Parts A & C) / Organization/Association/Government Department/Institution (Complete Parts B & C)
Part A – Individual Members
Title: / Surname: / Other names:Employer/Organization:
Part B – Organizations, Associations, Government Departments, Institutions
Name of Organization: (Please also enter initials)If an ASSOCIATION, number of members: / If an INSTITUTION/ORGANIZATION, GOVERNMENT DEPARTMENT, number of staff:
LIAISON PERSON FOR IAEVG:
Name: / Role:
Part C – All Applicants
Full address forcorrespondence
(including postal codes and name of country)
Telephone:
(include country codes) / Fax:
Email: (This is needed to give you access to the members’ only section of the website).
I agree to having my name and contact information included in the Members’ Only section of www.iaevg.org
I agree with the Ethical Standards and the UN Universal Declaration of Human Rights (Statutes para 6.4 reads: All members of IAEVG must agree with the Ethical Standards of the Association and accept the United Nations Universal Declaration of Human Rights (adopted by the General Assembly of United Nations on December 10, 1948)).
Signature: / Date:
1
IAEVG ADMINISTRATION CENTRE119 Ross Avenue, Suite 202, Ottawa, Ontario K1Y 0N6 CANADA
Tel: +613 729-6164 / Fax: +613 729-3515 / E-mail: / Website: www.iaevg.org
/ Association internationale d'orientation scolaire et professionnelle (AIOSP)
International Association for Educational and Vocational Guidance (IAEVG)
Internationale Vereinigung für Bildungs- und Berufsberatung (IVBBB)Asociación Internacional para la Orientación Educativa y Profesional (AIOEP)
SECTION 2 – PAYMENT OPTIONS
Name: / Member ID #:PLEASE CHOOSE ONE OF THE FOLLOWING METHODS OF PAYMENT:
by CREDIT CARD, see Part A below, orby BANK TRANSFER, see Part B below, or
by INTERNATIONAL POSTAL MONEY ORDER or CHEQUE, see Part C below
I wish to pay for 2016 and 2017 at this time (Simply double the fees outlined on the next page; Doing so will allow you to avoid any annual fee increase.)
Part A – Credit Card
Please complete this if you are paying by credit card. Note: All credit card payments will be charged the Canadian membership fee and will be processed in Canadian $ at the current rate of exchange. A 3% handling fee will be added to the transaction to cover processing fees.
Please note, if payment is made with a credit card, the transaction will be processed in Canadian Dollar.
Card Type: / MasterCard / Visa / American Express / Cardholder’s Name:Card Number: / Expires:
M / M / Y / Y
Signature: / Date:
£ I grant the IAEVG Administration Centre permission to automatically debit my credit card in December 2016 for my 2017 membership fee (a receipt will be sent to you in January 2017)
Part B – Bank Transfer
Here are different options to order bank transfers. Please make sure to use appropriate IAEVG bank account numbers according to currency of payment.
1. Payments in U.S. or CN$ : You may order a bank transfer through your bank for Canadian Career Development Foundation – IAEVG Fund to the following:
£ Payment in U.S. $: Royal Bank of Canada, 2121 Carling Ave, Ottawa, Ontario, K2A 1H2, CANADA,
Swift/BIC Code #: ROYCCAT2, Account #: 006060034001418
US Correspondent Bank: JP Morgan Chase, New York, NY, USA. ABA # 021000021
£ Payment in CN $: Royal Bank of Canada, 2121 Carling Ave, Ottawa, Ontario, K2A 1H2, CANADA,
Swift/BIC Code #: ROYCCAT2, Account #: 006060031007483.
2. Payment in Euro: You may order a bank transfer through your bank for IAEVG to:
£ Payment in Euro: Post Finance, 38, place de la Gare, L-2997 Luxembourg, LUXEMBOURG.
IBAN Code: LU14 1111 7036 6830 0000 The BIC or SWIFT code is: CCPLLULL
Transfers from outside the Euro zone will be charged on arrival by our banks. Could you please cover this cost by adding a supplement to cover handling costs of the equivalent of US$ 15. *** Please be sure to include your full name, address and reason for payment on the bank transfer. For renewing members, please also include your IAEVG member number in the reference ***Part C – Other Payment Method
International postal money order or cheque may be issued to us in Canadian or US $ . No other currency is acceptable as it raises costs which may be equal to, or even exceed, its value. For Canadian or US $ , please make your money order or cheque payable to The Canadian Career Development Foundation – IAEVG Fund.
Every foreign cheque, no matter the currency, will be charged on arrival by our banks.Could you please cover this cost by adding a supplement to cover handling costs of the equivalent of US$ 10.
Name: / Member ID #:
Part D – Membership/IJEVG Journal Fees
§ If you are going to pay with a credit card, you will be charged the Canadian membership fee and your transaction will be processed in CN$ (Canadian Dollars).
§ Each Individual and Institution/Organization/Government Department membership includes one online access to IJEVG (IAEVG’s Journal). See Part E for more on Journal access for Association members.
£ I wish to join/renew as an Individual IAEVG Member for 2016Please choose the currency with which you want to pay: / £ $ 91.00 US / £ € 75.00 / £ £ 59.00 / £ $ 110.00 CN
£ Our Institution/Organization/ Government Department wishes to join/renew our IAEVG membership for 2016
Please choose the currency with which you want to pay and the number of journal accesses desired: / £ $ 91.00 US
# of accesses desired
x ______
= $ ______/ £ € 75.00
# of accesses desired
x ______
= € ______/ £ £ 59.00
# of accesses desired
x ______
= £ ______/ £ $ 110.00 CN
# of accesses desired
x ______
= $ ______
£ Our Association wishes to join/renew our membership with IAEVG for 2016
Please see attached PART E for amount and enter it in the currency with which you want to pay: / £ US$
$ ______/ £ €
€______/ £ £
£______/ £ CN$
$ ______
£ In addition to online access, I/we wish to receive paper copy/copies of the International Journal for Educational and Vocational Guidance (IJEVG) for 2016.
Please choose the currency with which you want to pay the journal(s): / £ $ 28.00 US x
# copies ______
= $ ______/ £ € 20.00 x
# copies ______
= € ______/ £ £ 17.00 x
# copies ______
= £ ______/ £ $ 30.00 CN x
# copies ______
= $ ______
SUBTOTAL / $ US
______/ €
______/ £
______/ $ CN
______
HANDLING COST (as per payment option)
Please see Part B or C for amount and convert to the appropriate currency: / $ US
______/ €
______/ £
______/ $ CN
______
TOTAL / $ US
______/ €
______/ £
______/ $ CN
______
*** Please note, if payment is made with a credit card, the transaction will be processed in Canadian $ .
IAEVG distributes an electronic newsletter in English, French, German and Spanish. Please indicate in which language(s) you would like to receive your electronic copy of the Newsletter. You may choose more than one language.
£ English £ French £ German £ Spanish
Please return all pages of this form (PART A to E) to the IAEVG Administration Centre at the coordinates noted below. If you are paying by credit card, do not send completed forms by e-mail as the IAEVG Administration Centre does not have a secure transfer system.
4
IAEVG ADMINISTRATION CENTRE
119 Ross Avenue, Suite 202, Ottawa, Ontario K1Y 0N6 CANADA
Tel: +613 729-6164 / Fax: +613 729-3515 / E-mail: / Website: www.iaevg.org
/ Association internationale d'orientation scolaire et professionnelle (AIOSP)International Association for Educational and Vocational Guidance (IAEVG)
Internationale Vereinigung für Bildungs- und Berufsberatung (IVBBB)Asociación Internacional para la Orientación Educativa y Profesional (AIOEP)
Part E – IAEVG Membership Fees & Benefits for an Association – 2016
*** Please note, if payment is made with a credit card, the transaction will be processed in Canadian $ .
No. of members / Fee in US $ / Fee in € / Fee in £ / Fee in CAD $ / Votes / Online Journal Accesses›20 / $ 91.00 / € 75.00 / £ 59.00 / $ 110.00 / 2 / 2
21-30 / $ 136.50 / € 112.50 / £ 88.50 / $ 165.00 / 3 / 3
31-40 / $ 182.00 / € 150.00 / £ 118.00 / $ 220.00 / 4 / 4
41-50 / $ 227.50 / € 187.50 / £ 147.50 / $ 275.00 / 5 / 5
51-60 / $ 273.00 / € 225.00 / £ 177.00 / $ 330.00 / 6 / 6
61-70 / $ 318.50 / € 262.50 / £ 206.50 / $ 385.00 / 7 / 7
71-80 / $ 364.00 / € 300.00 / £ 236.00 / $ 440.00 / 8 / 8
81-90 / $ 409.50 / € 337.50 / £ 265.50 / $ 495.00 / 9 / 9
91-100 / $ 455.00 / € 375.00 / £ 295.00 / $ 550.00 / 10 / 10
101-150 / $ 500.50 / € 412.50 / £ 324.50 / $ 605.00 / 11 / 11
151-200 / $ 546.00 / € 450.00 / £ 354.00 / $ 660.00 / 12 / 12
201-250 / $ 591.50 / € 487.50 / £ 383.50 / $ 715.00 / 13 / 13
251-300 / $ 637.00 / € 525.00 / £ 413.00 / $ 770.00 / 14 / 14
301-350 / $ 682.50 / € 562.50 / £ 442.50 / $ 825.00 / 15 / 15
351-400 / $ 728.00 / € 600.00 / £ 472.00 / $ 880.00 / 16 / 16
401-450 / $ 773.50 / € 637.50 / £ 501.50 / $ 935.00 / 17 / 17
451-500 / $ 819.00 / € 675.00 / £ 531.00 / $ 990.00 / 18 / 18
501-550 / $ 864.50 / € 712.50 / £ 560.50 / $ 1,045.00 / 19 / 19
551-600 / $ 910.00 / € 750.00 / £ 590.00 / $ 1,100.00 / 20 / 20
601-650 / $ 955.50 / € 787.50 / £ 619.50 / $ 1,155.00 / 21 / 21
651-700 / $ 1,001.00 / € 825.00 / £ 649.00 / $ 1,210.00 / 22 / 22
701-750 / $ 1,046.50 / € 862.50 / £ 678.50 / $ 1,265.00 / 23 / 23
751-800 / $ 1,092.00 / € 900.00 / £ 708.00 / $ 1,320.00 / 24 / 24
801-850 / $ 1,137.50 / € 937.50 / £ 737.50 / $ 1,375.00 / 25 / 25
851-900 / $ 1,183.00 / € 975.00 / £ 767.00 / $ 1,430.00 / 26 / 26
901-950 / $ 1,228.50 / € 1,012.50 / £ 796.50 / $ 1,485.00 / 27 / 27
951-1000 / $ 1,274.00 / € 1,050.00 / £ 826.00 / $ 1,540.00 / 28 / 28
1001-2000 / $ 1,456.00 / € 1,200.00 / £ 944.00 / $ 1,760.00 / 29 / 32
2001-3000 / $ 1,638.00 / € 1,350.00 / £ 1,062.00 / $ 1,980.00 / 30 / 36
3001-4000 / $ 1,820.00 / € 1,500.00 / £ 1,180.00 / $ 2,200.00 / 31 / 40
4001-5000 / $ 2,002.00 / € 1,650.00 / £ 1,298.00 / $ 2,420.00 / 32 / 44
5001-6000 / $ 2,184.00 / € 1,800.00 / £ 1,416.00 / $ 2,640.00 / 33 / 48
6001-7000 / $ 2,366.00 / € 1,950.00 / £ 1,534.00 / $ 2,860.00 / 34 / 52
7001-8000 / $ 2,548.00 / € 2,100.00 / £ 1,652.00 / $ 3,080.00 / 35 / 56
8001-9000 / $ 2,730.00 / € 2,250.00 / £ 1,770.00 / $ 3,360.00 / 36 / 60
9001-10000 / $ 2,912.00 / € 2,400.00 / £ 1,888.00 / $ 3,520.00 / 37 / 64
4
IAEVG ADMINISTRATION CENTRE
119 Ross Avenue, Suite 202, Ottawa, Ontario K1Y 0N6 CANADA
Tel: +613 729-6164 / Fax: +613 729-3515 / E-mail: / Website: www.iaevg.org