Application Form Individual Member Please note that all fields are required Name * First Name Last Name Afiliation Phone (###) ### #### Email * Business Address Current position * Research interest, line of business and selection of related projects: * Research Interest Line of Business Selection of related projects Main interest in being part of EuroXR: Why would you like to be part of the Association?, Which is the added value you can bring to our Association? Short CV description (Please, be sure to attach one profile photo in jpg/jpeg format with the Application form filled out) I declare that I have read the Association Statutes, that I understand them and that I agree to be bound by them * Yes I declare that I have been informed about the membership fees, and I commit to paying them every year as long as I am a member * Yes I understand that the membership is not automatic, and that my application must be approved by the Association’s General Assembly * Yes I understand that the membership does not expire automatically after a period of time, and that I will be a member until my resignation or termination by the General Assembly * Yes I accept that EuroXR uses the information provided here for management purposes only * Yes Application ReceivedThank you for your submission. We confirm that your application has been successfully received.Our Advisory Board will carefully review all applications, and you can expect to receive a response within approximately 1 to 2 weeks.Should you require any further information in the meantime, please do not hesitate to contact us at info@euroxr.org.