Five year membership

To purchase a five year membership to LYMEC please fill in the form below in order to pay the €50 fee.

If you have already made the payment via bank transfer to the following account: LYMEC asbl - BE19 4246 4298 3112 and BIC KREDBEBB,
please click here.

1. Amount

€50.00

2. Your information

First Name*

Last Name*

Email*

Phone*

Country

City*

State*

Postal code*

Billing address*

Contributions are tax deductible.

3. Payment information

€50.00

You hereby agree to the general conditions of use of Paypal.

I confirm that the above statements are true and accurate.