LMI Membership - Dues Invoice Request

LMI Membership - Dues Invoice Request

Member application will be processed upon payment of dues.
Prospective ISPD members who reside in Low, Lower-Middle, and Upper-Middle Income (LMI) Countries, as defined by the World Bank, are welcome to apply for ISPD membership at a 50% discount off regular dues.

PLEASE NOTE: If your organization is able to support the cost of your membership, you are not eligible for the discount.

* = Required Field
Your Name

First NameLast Name
Email
example@example.com
Title
Organization
Your institution, hospital, clinic, or research facility
Address

Street Address

Street Address Line 2 - NOT required

CityProvince / Region / State - NOT required

Postal CodeCountry
Highest Academic Degree Attained (or equivalent)
Membership Option (US Dollars)
Please note that ISPD membership is for the calendar year, 1 January – 31 December.
Areas of Interest - Select all that apply.

Other
ISPD Special Interest Groups (SIGs) You Wish to Join
Should be Empty: