User account

If you want to become a member fill-out the form below. Information about your institution(email, address, location etc.) is required, personal member-info is optional. Your membership will be approved as soon as we have received your payment. Please find information about annual dues and payment methods on the website under Membership.

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Personal info (required)

title:

First name:

Middle initial:

last_name: *

Date of birth:

Institution info (required)

Institution: *

Institution address (1): *

Institution address (2):

Institution address (3):

City: *

Province:

State:

Zip:

Country: *

Continent: *

Email: *

Phone:

Fax:

Member info (optional)

Member address (1):

Member address (2):

Member address (3):

City:

Province:

State:

Zip:

Country:

Continent:

Email:

Phone:

Fax:

Qualifications:

Present position(s):

Previous appointments:

Special interests:

Communication (required)

Billing address: *

Institution

Member

Which address do you want us to use for billing?

Preferred communication: *

Institution

Member

Which email-address do you want us to use for communication?

Remarks:

Title:

Word verification: *

Type the characters you see in this picture.

(verify using audio)

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.