CINet membership application form

CINet membership application form

We will come back to you on your application as soon as possible.
Name*

PrefixFirst NameLast NameSuffix
Institution/company*
Department
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
Membership type*

PhD membership (€35 per year)Full membership (€75 per year)
Research interests
A short description of your research interests would be nice!
Please attach a short CV*

Cancelof
Should be Empty: