British Chapter of the ISMRM membership
This a form to register your annual membership of the British Chapter of the ISMRM.
Email address *
First name *
Your answer
Family name
Your answer
Institution *
Your answer
City
Your answer
Primary discpline
Membership type - only full members need to be members of the ISMRM/SMRT
For full members only: ISMRM membership number
Your answer
For student members: name of supervisor who you should ask to send a simple email to penny.gowland confirming your status and expected date of completion of your PhD
Your answer
For student members: Expected date of completion of PhD
MM
/
DD
/
YYYY
Sex (optional)
Nationality (optional)
Your answer
A copy of your responses will be emailed to the address you provided.
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