Request for Membership

If you have an interest in IMSF and would like to become a member please complete and submit the form below. You can also apply for membership by mailing your request to the Membership Secretary at the address below. In your mailed request please include the information requested in the form below (required fields are indicated with an asterisk).

Membership Secretary
Pat Tye
Secretary
Email: research@eagibson.co.uk

Title:		Mr Mrs Miss Ms Dr Prof
First Name:*
Last Name:*
Email:*
Organization:
Address1:
Address2:
City:
Postal/Zip code:
State:
Country:
Telephone:
Fax:
Organization Web Site:	http://
Why do you wish to join IMSF, how do you think you will benefit from membership and what will you/your organisation be able to contribute to the forum?