Membership form

To become a member of Société Internationale des Amis de Mohammed Dib, you have two options: fill out the form below (process in English) or click on the «  Adhérer » button at the bottom of the page (process in French).

Membership form in English: we would like to point out that your membership will only be effective once we receive your membership fee that we kindly ask you to pay within two weeks of your online registration. The payment details will be sent to you in a return e-mail after your registration.
Fields marked with an asterisk (*) are mandatory.

Title*

Last name*

Given name*

Email*

Occupation

Address (city, country)

Type of membership*

You also have the possibility to join by clicking on the button below. You will be directed to the site of our partner HelloAsso (in French) where you can safely complete the membership form and pay your membership fee. At the end of the membership process, a receipt and a membership card will be issued to you.

Your personal data will only be used for the membership and for the information purposes of the SIAMD. Questions concerning the membership of the SIAMD can be directed to info[at]siamdib.com.