Adjunct and Corporate membership Registration - International Headache Society

Title*

First Name*

Last Name*

E-mail Address

Qualifications (e.g. MD, PhD, MBBS) – please list all from initial medical / scientific qualification*

Username*

Address Line 1*

Address Line 2

Address Line 3

Address Line 4

City*

Postcode/Zip code

Country*

Phone Number

Current Institution*

Current Position

Up to 5 most recent publications in headache/neurology (optional)

Choose length of membership*

Select membership type*

Adjunct Online Only

Join the American Headache Society*

*If you are not already an AHS member you can also join AHS as an online-only member at the preferential rate of £70. Provides online access to 'Headache' and the AHS members website. If you select yes you will be charged an additional £70 for this membership.

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Appear in member directory

Please accept my application for membership, and in the event of being accepted I hereby consent to membership of IHS and will abide by the Society Articles of Association. I certify that I fulfil the criteria for Standard membership related fields.

I agree to the Company's request to send or supply documents and information to me in electronic form or via the Website

Step 2 Complete application