Application Form
INTERNATIONAL COMMITTEE
MEMBERSHIP
(October 2005)
If you wish to become a member of an International Committee with full voting rights
Please complete and return this application form to :
ICOM Secretariat
Maison de l'UNESCO - 1, rue Miollis - 75732 Paris Cedex 15 - France
Tel.: +33 (0)1 47 34 05 00 - Fax: +33 (0)1 43 06 78 62
Email: secretariat@icom.museum - http://icom.museum/internationals.html
Archaeology & History (ICMAH)
Architecture & Museum Techniques (ICAMT)
Arms & Military History (ICOMAM)
Audio-visual & New Technologies (AVICOM)
Conservation (ICOM-CC)
Decorative Arts and Design (ICDAD)
Costume
Documentation (CIDOC)
Education & Cultural Action (CECA)
Egyptology (CIPEG)
Ethnography (ICME)
Exhibition Exchange (ICEE)
Fine Arts (ICFA)
Glass
Historic House Museums (DEMHIST)
Literary Museums (ICLM)
Management (INTERCOM)
Marketing & Public Relations (MPR)
Memorial Museums (IC MEMO)
Modern Art (CIMAM)
Money & Banking Museums (ICOMON)
Museology (ICOFOM)
Museum Security (ICMS)
Museums of Cities (CAMOC)
Musical Instruments (CIMCIM)
Natural History (NATHIST)
Regional Museums (ICR)
Science & Technology (CIMUSET)
Training of Personnel (ICTOP)
University Museums (UMAC)
Committee Chosen*: [ONE ONLY] __________________________________________________________________
Surname: Mr/Mrs/Miss/Ms/Dr/Prof ___________________________________First Name: __________________________
ICOM Card Number: _____________________________________________________________________________
I am:
 An Individual ICOM Member
 Representing an Institutional ICOM Member
 Institution's Name: ____________________________________________________________________
Position: ______________________________________________________________________________________
Specialisation/collection: __________________________________________________________________________
Professional Address: _____________________________
_______________________________________________
Tel: _____________________________________
(Please indicate country and area code)
Fax: ____________________________________
City: _____________________ Zip Code: ________________________
Email: ___________________________________
Country: __________________________________________________
Mailing Address (if different from above):
______________
Web site: ________________________________
Tel: _____________________________________
(Please indicate country and area code)
______________________________________
City: _____________________ Zip Code: ________________________
Fax: ____________________________________
Email: ___________________________________
Country: __________________________________________________
Web : ___________________________________
Date: _______________________________________________ Signature: ________________________________
*
For more information please refer to the Welcome Brochure or http://icom.museum