Membership Proposal/Application Form
Name:
Position:
Academic qualifications:
Address:
Phone:
Fax:
E-mail:
Research interests (5 keywords):
Membership of other scientific societies:
Proposers (names and signatures of current Anatomical Society members):
(1):
(2):
I wish to apply for Ordinary Membership of the Anatomical Society of Great Britain and Ireland.
Applicant's signature:
A hard copy print-out of this form or as an e-mail attachment should be completed and sent to:
Dr Sam Cobb Honorary Assistant Secretary (Membership),The Anatomical Society of Great Britain and Ireland c/o Portland Customer Services, Commerce Way, Colchester, Essex, CO2 8HP, UK. Tel: +44 (0)1206 796351. Fax +44 (0)1206 799331. E-mail: asgbi@portland-services.com
All applications must be supported by a current Curriculum Vitae.
Persons registered for a higher degree who wish to apply for Membership at the reduced subscription rate should also include a letter from their Supervisor or Head of Department confirming their status.
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