SPHERIC Membership Form

SPHERIC Membership e-Form

Fill out this form to request SPHERIC membership. Please make sure to have read the conditions to become a SPHERIC member on our website: https://www.spheric-sph.org/
Full Name

First NameLast Name
Represented Institution
Type the name of the scientific institution that employs you
Postal Address

Street Address

Street Address Line 2

CityRegion/State/County

Postal CodeCountry
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Topics of Interest in SPH:
Would you like your email to be added to the SPHERIC mailing list?

Here you can add the contact info of other people working in your institution to receive the SPHERIC newsletter every six months (leave blank if not applicable):

Rows	Full Name	Email Address
1
2
3
4
5

Do you accept the conditions to become a SPHERIC member listed on the SPHERIC website homepage and to represent your institute as a SPHERIC member?
Should be Empty:

SPHERIC Membership e-Form