Membership Application

Complete the form below to join the ISCMNS. Payment details are shown on the next page.

Make sure you read and agree with the society Constitution and By-laws.

Name

First Name

Last Name

Email

Country

City

Occupation

Affiliation

Institution or company

Personal Website URL

LENR Forum Username / Handle

If you have an account on the LENR forum, add your username or account email address and you will be added to the private ISCMNS Members Forum.

Additional Information (to supplement this application)

Declaration *

I have read and agree to abide by the Constitution and By-laws and to promote the interests of the Society and not to do anything to bring the Society into disrepute. I agree to be emailed by the Society for news, events, membership applications and renewals. My personal details will not be shared with third parties or used for any other purposes.

I confirm