ISD Membership Application
New Membership:
First Name:
Middle Name:
Last/Surname:
Scientific Degree:
(e.g. M.D., Ph.D., M.S., B.S., etc)
Gender:
(Male/Female)
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Date of Birth:
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Institution:
(If not affiliated with an institution, please write none)
Mailing Address:
(journals will be sent to this address)
City:
State/Province:
Zip/Postal Code:
Country:
Telephone:
Fax Number:
E-Mail:
Would you like to be listed in the membership directory?
Yes
No
Regular Member:
Dues include a subscription to the International Journal of Dermatology. Regular Members have voting rights.
$100.00 (US)
Associate Member:
This category is suggested for residents/medical students of any country, or dermatologists currenting practicing in developing countries as designated by the OECD. Annual dues of $65.00 include a subscription to the International Journal of Dermatology. Associate members do not have voting rights.
$65.00 (US)
Individual Sponsoring Members:
Individuals wishing to help sponsor memberships from developing countries or trainees from any country. Membership includes a subscription to the International Journal of Dermatology.
$250.00 (US)