3 Year Senior Membership (UK/EU)

AISB Online Membership Form (Senior Member)

Personal Details

Name and Title*:

(please note that this should be the same as the shipping address you give when you pay)

(NB. We will use this email address to contact you should we have any queries)
Relevant Webpage:
Interests (within research, eduction, industry, etc.):
Brief statement in support of application for Senior Membership (please list at least 3 peer-reviewed publications in relevant fields) **:

* Compulsory Fields

** Compulsory Field for Senior Members - we use these to validate your application.


I want my email address in the AISB email directory.

I wish the above URL and research interests to be listed on the members home pages site on the AISB web page.

I am willing for this information to be used by AISB for suggesting me as a possible reviewer of journal articles, grant proposals, etc.

I agree to AISB keeping the above information on file on the understanding that the information will never be used outside of AISB without my prior consent.

Acceptance Mark
(Payment on next page)