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APPLICATION FOR EARMA MEMBERSHIP

Please complete the fields below to begin your application for EARMA membership (either Ordinary or Institutional Membership). Those fields marked with an asterisk [*] are mandatory and must be completed. Please note that completion and submission of the form below is taken to be a commitment to membership. You will be invoiced for membership for the current year and payment will be due within 30 days.

If your organisation is already an Institutional Member of EARMA, and you simply wish to be added to the EARMA database and e-mail distribution list, then please also complete the form below. You should also send an e-mail to webmaster@earma.org to inform us of this.

Institutional Members are allowed up to 10 individuals to benefit from EARMA services.

The information you enter below will create your personal 'profile' in the EARMA membership database.

EARMA will use the information stored in your personal 'profile' only in accordance with the EARMA Data Protection and Privacy Policy (for details please click here).

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

This must be a valid e-mail address. All EARMA communications will be sent to this e-mail address. Only this e-mail address will be used if you wish to receive a new password or wish to receive certain news or notifications that you subscribed to. For details of the EARMA Data Protection and Privacy Policy please click here.

Profile

Salutation: *

First name: *

Surname: *

Job title: *

Type of EARMA membership: *

Contact details

Name of organisation: *

Dept/group/division: *

Address Line#1: *

Address Line#2:

Address Line#3:

Postcode: *

City / Town: *

Country / State / Region:

Country: *

Phone - country code:

Phone - area code:

Phone - number:

Fax - country code:

Fax - area code:

Fax - number:

Homepage/url:

Optional information

Date of birth:

Gender:

Brief description of your organisation:

Years spent in research management:

Qualifications:

Career to date:

Areas of professional expertise:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Do you hate spam? (yes or no): *

Security question, designed to stop automated spam bots