Membership Application Form

Payment of Membership Fees:
a) If you paid for your membership fees in-person during a conference or via your local society, please have your receipt ready for uploading.
b) You may also pay your memberships fees using a credit card or via paypal after you have completed your application form.
Contact Number
Cellphone number *
Landline Number
Organisation address
Street Address *
Street Address Line 2
City *
State / Province *
Postal code *
Country *
Files must be less than 2 MB.
Allowed file types: pdf.
Payment
No need to upload proof of payment if the payment will be made via credit card. You will need to upload a proof of payment if the payment was made via Paypal, Country Society or during a Conference. You may also pay via Credit card below
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.

After you submit the form you will be directed to a page where you will be able to proceed with the credit card payment.