EASyM Membership Application form
Your first name *
Your answer
Your surname *
Your answer
Your academic title *
please tick boxes all that apply
Your current position *
Your answer
The organisation you work for *
Your answer
Your postal address *
Your answer
Your phone number *
Your answer
Your email address *
EASyM will communicate with you mainly via email, please ensure that the email address provided is always up to date
Your answer
Do you wish to apply for reduced membership fee? *
Individuals who are 30 years or younger or who are still in training (including postdoctoral and junior doctor positions) are eligible for reduced membership fee
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