*Last Name : |
|
(Please
incl. Mr. / Mrs. / Miss / Ms / Dr / Prof.) |
*First
Name: |
|
*Name
of Institution: |
|
*Type
of Institution: |
(e.g. Natural History
Museum) |
Designation: |
(e.g. Curator) |
Department: |
|
Professional
Address: |
|
| |
(Please
incl. Physical Address) |
*City: |
|
*Country: |
|
*Name of Museum Director/Head: |
|
| |
(For
Students / Honorary Members) |
Office
Telephone(s): |
(Option 1) |
| |
(Option 2) |
Fax: |
|
Mobile
Phone: |
(Optional) |
Home
Telephone: |
|
(Please incl. Country and Area Codes e.g.
+254-2-374-8668) |
Personal
Email(s): |
(Option 1) |
| |
(Option 2) |
Institutional
Email: |
|
Institutional
Website: |
|
Language
for Correspondence: |
English
French |
Membership
in other
Professional Organisations: |
|
I
am an ICOM member: |
Yes
No |
Category
of Membership: (Tick one only) *
Please submit supporting documents
|
| |
Additional
Remarks /
Information:
|
|
 |
I
declare that I am eligible for membership
of the International Council of African Museums
(AFRICOM) and wish to become a member of AFRICOM.
I do not engage in dealing (ie. buying and
selling for profit) in the field of cultural
property and accept the Code of Professional
Ethics for museum professionals as adopted
by the International Council of Museums (ICOM)
and adhered to by AFRICOM. |
|
NB:
Membership is annual and runs from January
1 until December 31 of the year in which membership
sought/fees paid. New memberships received
after September 30th will become effective
as from January 1st of the following year
unless otherwise indicated. |
|
AFRICOM
WOULD LIKE TO ESTABLISH FREE ENTRY TO AFRICAN
MUSEUMS AS PART OF THE BENEFITS OF MEMBERSHIP.
PLEASE TRY TO ESTABLISH THIS IN YOUR COUNTRY
AND CONFIRM TO AFRICOM SO THAT WE MAY KEEP
MEMBERS INFORMED. THANK YOU! |
Please fill in the membership application form below:
