Standard Membership Registration - International Headache Society

Your details

Title*

First Name*

Last Name*

Address Line 1*

Address Line 2

Address Line 3

Address Line 4

City*

Postcode/Zip code*

Country*

Your speciality

Areas of interest

Purely clinicalBasic Research

Clinical Research

E-mail Address

Phone Number

Upload your CV

Upload

Username*

Institution (for directory)*

Current Position

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

Student information

Are you a student?

Date of birth

Residency Start Date

Residency End Date

Payment information

Choose length of membership*

Select membership type*

Junior/NurseStandard Member

World Bank UMI Member

World Bank UMI membership is available to all members living and working in countries listed in World Bank Upper-middle income countries – see list here.

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 £95. Provides online access to 'Headache' and the AHS members website. If you select yes you will be charged an additional £95 for this membership.

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

Please check this box if you wish to be included in the online members directory – the members directory is ONLY available to other members

Only fill in if you are not human

Step 2 Complete application