标准会员 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

邮箱地址

电话号码

Upload your CV

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Username*

Institution (for directory)*

Current Position

Up to 5 most recent publications in headache/neurology*

Student information

Are you a student?

Date of birth

Residency Start Date

Residency End Date

Complete the junior verification form

Payment information

Currency*

Choose length of membership*

Select membership type*

Junior/NurseStandard Member

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.

*If you are not already an AHS member you can also join AHS as an online-only member at the preferential rate of €85. Provides online access to 'Headache' and the AHS members website. If you select yes you will be charged an additional €85 for this membership.

*If you are not already an AHS member you can also join AHS as an online-only member at the preferential rate of $120. Provides online access to 'Headache' and the AHS members website. If you select yes you will be charged an additional $120 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