Application Form
INTERNATIONAL COMMITTEE
MEMBERSHIP
(September 2001)
If you wish to become a member of ICOM's International Committee, please return your
application form to the ICOM Secretariat at the following address:
Secrétariat de l'ICOM
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
Archaeology & History
(ICMAH)
Architecture &
Museum Techniques
(ICAMT)
Audio-visual & New
Technologies
(AVICOM)
Conservation
(ICOM-CC)
Costume
Education & Cultural
Action
(CECA)
Literary Museums
(ICLM)
Musical Instruments
(CIMCIM)
Egyptology
(CIPEG)
Management
(INTERCOM)
Natural History
(NATHIST)
Ethnography
(ICME)
Exhibition Exchange
(ICEE)
Fine Arts
(ICFA)
Marketing & Public
Relations
(MPR)
Memorial Museums
(IC MEMO)
Modern Art
(CIMAM)
Regional Museums
(ICR)
Science & Technology
(CIMUSET)
Numismatics
(ICOMON)
Decorative Arts and
Design
(ICDAD)
Glass
Museology
(ICOFOM)
Training of Personnel
(ICTOP)
Documentation
(CIDOC)
Historic House
Museums
(DEMHIST)
Museum Security
(ICMS)
University Museums
(UMAC)
Committee(s) Chosen
Voting Member:
Non-voting Member:
Non-voting Member:
Mr/Mrs/Miss/Ms/Dr/Prof:
Surname:
First Name:
ICOM Card Number:
 I am an individual ICOM Member
or
 I am representing an Institutional ICOM Member
 Institution's Name:
Position:
Professional Address:
Tel.:
(Please indicate country and area code)
Fax:
City:
ZipCode:
Email:
Web site:
Country:
Mailing Address (if different from above):
Tel.:
(Please indicate country and area code)
City:
ZipCode:
Fax:
Email:
Web site:
Country:
Professional Specialisation:
Date:
Signature: