join – Cyclic Vomiting Syndrome Association Nordic

1. Make your account 2. Confirm email 3. email confirmed 4. Choose payment method 5. pay for your membership subscription

Username* This cannot later be changed
Email* This is the email CVSA Nordic will use to reach you. You can change your email in your account later
Password*
The password must have a minimum strength of Medium.Strength indicator
Repeat password*
First name* Enter your first name in this text box. This will be saved in CVSA Nordic member register.
Last name* Enter your last name in this text box. This will be saved in CVSA Nordic member register.
Country*
Subscription
Familiy group membership - 250kr for 5 members / 1 Year
Family membership may include one primary member, and additional household members (registered on the same address) over the age of fifteen (15). The membership is valid for one (1) year from the time of registration.
Individual membership - Pay what you want, minimum (kr) / 1 Year
All persons fifteen (15) years or older may subscribe to an individual membership in CVSA Nordic. The member will have individual voting rights at the general assembly. The membership is valid for one (1) year from the time of registration.

You have selected a Group Membership. After a successful payment you will be able to invite up to %s additional members.
Group Name *
Group Description

You will be able to complete the payment after you have confirmed your e-mail address.

Billing Details
Billing First Name*
Billing Last Name*
Billing Email*
Billing Company
If entered, this will appear on the invoice, replacing the First and Last Name.
Billing Address*
Billing City*
Billing Zip / Postal Code
Billing Country*
Billing State / Province

I confirm that I am over 15 years old, and have read the terms and conditions of joining CVSA Nordic.*
I allow CVSA Nordic to collect and store the data I submit through this form.*

Nordic