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 Name Last Name
Represented Institution *
Type the name of the scientific institution that employs you
Postal Address *

Street Address

Street Address Line 2

City Region/State/County

Postal Code Country
Phone Number
E-mail *
example@example.com
Topics of Interest in SPH: *
Would you like your email to be added to the SPHERIC mailing list?

Yes No

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):

	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? *

Yes
Should be Empty:

SPHERIC Membership e-Form