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APPLICATION FORM FOR NEW MEMBERS
To apply for membership please complete the form below.
Required fields
If you would like to become a student member of IBANGS, we also request that you send a BRIEF letter from your mentor or senior colleague CONFIRMING YOUR STATUS AS A STUDENT IN GOOD ACADEMIC STANDING to the IBANGS secretary at
maenoch@niaaa.nih.gov
.
Once you have submitted the form below, the IBANGS secretary will send you an email confirmation (usually within two weeks) with information on how to pay the annual membership fee. Once this has been paid you will receive an email confirmation containing your username and password and your complimentary subscription to G2B will start soon after that.
Personal Information
Last Name
First Name
Position and Degree
Date of Birth (dd/mm/yyyy)
Institutional Address
Department/Institute
University/Company
Postal Address
City
Zip Code
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Scientific Information
Scientific Interest
Species Used
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Are you a member of another FENS society?
No
Yes
If "Yes" please specify the society
Type of member
Type of member
Regular
Student
Membership Year
New Membership 2008
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