Culturelink Network - Membership Form

Order Form

Please note that the publication is being sent to all Culturelink members free of charge.

UNESCO's Convention on the Protection and the Promotion of the
Diversity of Cultural Expressions: Making it Work
Edited by Nina Obuljen and Joost Smiers
Culturelink Joint Publications Series No. 9
Institute for International Relations, Zagreb, 2006
ISBN 953-6096-40-4, Price: 29 €

Number of copies: ______

Name:________________________________________________________________

Institution:____________________________________________________________

Address:______________________________________________________________

_____________________________________________________________________

Phone:__________________________ Fax:_________________________________

E-mail:_______________________________________________________________

Date:___________________________ Signature:____________________________

Possible ways of payment are by check, bank account or credit card:

( ) cheque made out to:

IMO/CULTURELINK
Ul. Lj. F. Vukotinovica 2
P.O. Box 303
10000 Zagreb
Croatia

( ) bank transfer to:

ZAGREBACKA BANKA D.D.
Paromlinska 2
10000 Zagreb
Croatia

Account Holder: Institute for International Relations
Account No.: 2100055137
BIC or SWIFT code: ZABAHR2X
IBAN: HR4823600001101400944

( ) credit card:

( ) American Express ( ) Diners Club ( ) Visa

Name:_________________________________________

Address:_______________________________________

City:____________________ Postal Code:___________

Country:_______________________________________

Card No.:______________________________________
(please include your card control number, i.e. the last three digits
of your card number at the back of the card)

Card Expiry Date: _________ Signature: ____________

Please print out this form, fill it in and send it to:

IMO/CULTURELINK
Ul. Lj. F. Vukotinovica 2
P.O. Box 303
10000 Zagreb
Croatia

tel: (+385 1) 48 77 460
fax: (+385 1) 48 28 361
e-mail: Culturelink@irmo.hr